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电子支气管镜及刷检对支气管结核诊断价值

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目的 探讨电子支气管镜及刷对支气管结核诊断价值.方法 分析48例支气管结核患者检查前痰结核杆菌涂片结果与电子支气管镜检查及刷检的结核分枝杆菌均快速培养及结核均培养的阳性率.结果 镜下炎性浸润型28例占58.33%、溃疡坏死型4例占8.33%、瘢痕狭窄型9例占18.75%、肉芽增生型3例占6.25%、淋巴瘘型3例占6.25%、管壁软化型1例占2.08%,痰结核杆菌涂片阳性率35.4%,刷检的结核分枝杆菌快速培养阳性率50%,刷检的结核菌培养的阳性率60.4%.结论 电子支气管镜及刷检的结核分枝杆菌快培养及结核菌培养对支气管结核有重要的诊断价值,刷检的结核菌培养明显优于痰结核杆菌涂片阳性率,支气管结核以炎性浸润性为主.
Diagnostic value of electronic bronchoscopy and brush biopsy for bronchial tuberculosis
Objective To evaluate the diagnostic value of electronic bronchoscopy and bronchial brush in bronchial tuberculosis.Methods The results of sputum tuberculum smear,electronic bronchoscopy,and bronchial brush were analyzed in 48 patients with bronchial tuberculosis before examination.Results Under the microscope,there were 28 cases of inflammatory infiltrating type(58.33%),4 cases of ulcer necrosis type(8.33%),9 cases of cicatricial stenosis type(18.75%),3 cases of granulomatous hyperplasia type(6.25%),3 cases of lymphatic fistula type(6.25%),and 1 case of tube wall softening type(2.08%).The positive rate for rapid culture using brush mycobacterium tuberculosis was 50%,while that for culture using brush mycobacterium tuberculosis was 60.4%.Conclusion Rapid culture of Mycobacterium tuberculosis through electronic bronchoscopy and bronchial brush is highly valuable in diagnosing bronchial tuberculosis.The positive rate for culture using the brush method is significantly higher than that for sputum smears.

Electronic bronchoscopeBronchial tuberculosisRapid culture of tuberculosisSlow culture of tuberculosisDiagnos-tic value

阿力木·吾斯曼、发如克·帕尔哈提、杨俊勇

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新疆医科大学第八附属医院,乌鲁木齐 830049

乌鲁木齐市中医医院,乌鲁木齐 830000

电子支气管镜 支气管结核 结核分枝杆菌均快速培养 结核菌培养 诊断价值

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(3)
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