Shahzad Talha, Irfan Muhammad
Section of Pulmonary and Critical Care Medicine, Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.
J Thorac Dis. 2016 Dec;8(12):3797-3802. doi: 10.21037/jtd.2016.12.73.
Endobronchial tuberculosis (EBTB) is a tuberculous infection of the tracheobronchial tree with microbial and histopathological evidence. Patients may present with symptoms secondary to disease itself or from the complication of disease like endobronchial obstruction. Diagnosis requires a high index of suspicion. Computed tomography (CT) and bronchoscopy along with microbiological investigations are the most useful diagnostic tools for the confirmation as well as for the evaluation of the tracheobronchial stenosis. The goals of treatment are eradication of tubercle bacilli with anti-tubercular medications and the prevention of airway stenosis. Interventional Bronchoscopic techniques and surgery is required for those patients who develop severe tracheobronchial stenosis that causing significant symptoms including dyspnea, repeated post obstructive pneumonia or bronchiectasis.
支气管内膜结核(EBTB)是一种气管支气管树的结核感染,有微生物学和组织病理学证据。患者可能出现疾病本身引起的症状,或因疾病并发症如支气管内阻塞而出现症状。诊断需要高度的怀疑指数。计算机断层扫描(CT)、支气管镜检查以及微生物学检查是确诊以及评估气管支气管狭窄最有用的诊断工具。治疗目标是用抗结核药物根除结核杆菌并预防气道狭窄。对于那些出现严重气管支气管狭窄并导致包括呼吸困难、反复阻塞性肺炎或支气管扩张等明显症状的患者,需要采用介入性支气管镜技术和手术治疗。