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[支气管镜标本直接显微镜检查的细胞学和细菌学分析在肺结核诊断中的价值]

[The value of cytologic and bacteriologic analysis of bronchoscopic specimens with direct microscopy in the diagnosis of pulmonary tuberculosis].

作者信息

Pongrac I, Kotarski Z, Roglić M, Grozdek D, Cucević I

机构信息

Klinicka bolnica za plućne bolesti Jordanovac, Zagreb.

出版信息

Lijec Vjesn. 1994 May-Jun;116(5-6):121-3.

PMID:7968196
Abstract

The authors review results for detection of acid-fast bacilli by the method of direct fluorescent microscopy in cytologic specimens obtained by fiberbronchoscopy and in which a granulomatous inflammation was found cytomorphologically. Direct fluorescent microscopy revealed acid-fast bacilli in 30.2% of the specimens. In 10.2% of the patients, acid-fast bacilli detected by fluorescent microscopy were the only positive bacteriological findings which confirmed tuberculosis. The authors suggest this method for all those patients in whose bronchoscopic specimens, suspected cases of tuberculosis infection could be established cytomorphologically.

摘要

作者回顾了通过直接荧光显微镜法检测经纤维支气管镜获取的细胞学标本中抗酸杆菌的结果,这些标本在细胞形态学上发现有肉芽肿性炎症。直接荧光显微镜检查显示,30.2%的标本中存在抗酸杆菌。在10.2%的患者中,荧光显微镜检测到的抗酸杆菌是确诊结核病的唯一阳性细菌学检查结果。作者建议,对于所有在支气管镜标本中根据细胞形态学可怀疑有结核感染的患者,都采用这种方法。

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