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目的 观察纤维支气管镜 (纤支镜 )对非好发部位肺结核的诊断价值。方法 经胸片或 CT选择 43例非好发部位肺结核 ,经纤支镜直视下刷检或活检。结果 全组 43例非好发部位肺结核 (两上叶前段 12例 ,中、舌叶 19例 ,两下叶基后段 12例 ) ,结果 94 2 % ( 40 43)管腔内发现异常改变 ,其中粘膜充血水肿 32例 ,浸润糜烂 11例 ,肉芽肿样新生物 13例 ,管腔狭窄变形 6例 ,乳头状新生物 2例 ,粘膜增厚僵直 2例。镜下活检阳性率 76 4% ,刷检涂片阳性率 41 8%。结论 纤支镜检查对非好发部位肺结核有重要的诊断价值
Objective To observe the diagnostic value of bronchoscopy (bronchofibroscopy) for non-tuberculous pulmonary tuberculosis. Methods Thirty-four cases of non-tuberculosis pulmonary tuberculosis were selected by radiography or CT. Results In the whole group, 43 patients with non-predilectional tuberculosis (12 cases in the anterior segment of the two upper lobes, 19 in the middle and the lingual lobes, and 12 in the posterior segment of the two lower lobes) showed abnormal changes in 94 2% (40 43) There were 32 cases of mucosal congestion and edema, 11 cases of infiltration erosion, 13 cases of granuloma-like neoplasms, 6 cases of lumen stenosis, 2 papillary neoplasms and 2 cases of mucosal thickening and stiffening. Microscope biopsy positive rate of 76 4%, brush test smear positive rate of 41 8%. Conclusion Fiberoptic bronchoscopy has important diagnostic value for non-tuberculous tuberculosis