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[肺结核和结节病患者多色分析支气管镜检查的方法及有效性]

[Methodology and effectiveness of bronchoscopy with polychromatic analysis in patients with pulmonary tuberculosis and sarcoidosis].

作者信息

Kalashnikov N A, Kovalenko N N, Suslov E I

出版信息

Probl Tuberk. 1990(1):21-4.

PMID:2336430
Abstract

A procedure of polychromatic analysis (PA) was improved by using light filter occular attachments. In 154 patients, including those with pulmonary tuberculosis (101) and sarcoidosis (53), a diagnostic effectiveness of a traditional bronchoscopy is compared to that with PA, including morphoendoscopic comparison. As against traditional bronchoscopy, PA made it possible to find out in 34.8% an additional number of non-specific endobronchitis cases accompanying pulmonary tuberculosis, and at the same time to approach in 90.2% an endoscopic diagnosis to a pathomorphologic one. In several patients the authors managed to additionally distinguish by means of PA infiltrative bronchial tuberculosis of tuberous type. In pulmonary sarcoidosis the use of PA also allowed to increase a diagnostic effectiveness of the traditional bronchoscopy.

摘要

通过使用滤光目镜附件改进了多色分析(PA)程序。在154例患者中,包括肺结核患者(101例)和结节病患者(53例),将传统支气管镜检查的诊断效果与采用多色分析的诊断效果进行了比较,包括形态内镜比较。与传统支气管镜检查相比,多色分析能够发现34.8%的肺结核伴发的额外非特异性支气管炎病例,同时在90.2%的病例中使内镜诊断接近病理形态学诊断。在几名患者中,作者通过多色分析成功地额外鉴别出结核型浸润性支气管结核。在肺结节病中,使用多色分析也提高了传统支气管镜检查的诊断效果。

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