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目的 :探索提高酷似肺癌支气管结核的诊断水平。方法 :经纤支镜活检和细菌学检查 ,病变在肺上叶 46例 ,肺中叶 30例 ,肺下叶 2 8例 ,双肺弥漫性病灶 4例。结果 :结核性炎症 2 5例 ,结核性肉芽肿 74例 ,结核性肉牙肿伴干酪样坏死 5例 ,4例开胸活检确诊为粟粒性肺结核。结论 :对一些特殊类型肺结核 ,纤支镜检查是明确诊断的重要手段。及时病理学、细菌学检查有利于肺结核早期诊断和治疗。
Objectives: To explore ways to improve the diagnosis of bronchial tuberculosis in lung cancer. Methods: Bronchial biopsy and bacteriological examination were performed in 46 cases of upper lobe, 30 cases of middle lobe, 28 cases of lower lobe, 4 cases of diffuse lung lesions. Results: 25 cases of tuberculous inflammation, tuberculous granuloma in 74 cases, tuberculous meningitis with caseous necrosis in 5 cases, 4 cases of thoracic biopsy diagnosed as miliary tuberculosis. Conclusion: For some special types of pulmonary tuberculosis, bronchoscopy is an important means to confirm the diagnosis. Timely pathology, bacteriological examination is conducive to early diagnosis and treatment of tuberculosis.