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溃疡性肉芽肿
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Forty five cases of lower lung field tuberculosis with sputumnegative finding diagnosed by fiber- bronchoscopic examination were reported.The major bronchoscopy findings were ulcerative granulo- ma,fibrostenosis,and inflammatory broncheal mucosa with congestion and edema.In 6 of 45 cases the pathological biopsy was diagnosed tuberculosis,bronchoscopic brushing smear was positive in 16 of 40, bronchoscopic aspirate smear was positive in 16 of 42.BAL(Bronchoalveolar Lavage) smear was posi- tive in 8 of 16.It is...

Forty five cases of lower lung field tuberculosis with sputumnegative finding diagnosed by fiber- bronchoscopic examination were reported.The major bronchoscopy findings were ulcerative granulo- ma,fibrostenosis,and inflammatory broncheal mucosa with congestion and edema.In 6 of 45 cases the pathological biopsy was diagnosed tuberculosis,bronchoscopic brushing smear was positive in 16 of 40, bronchoscopic aspirate smear was positive in 16 of 42.BAL(Bronchoalveolar Lavage) smear was posi- tive in 8 of 16.It is suggested that fibroptic bronchoscopy is valuable in detecting pathological and mi- cobiological evidence of lower lung field tuberculosis with smear-negative sputum and assessing the severity of endobronchial lesions.

报告利用纤维支气管镜诊断痰菌阴性的下肺野结核45例。纤维支气管镜下表现为溃疡性肉芽肿、纤维性狭窄和炎性粘膜充血水肿。经纤维支气管活检病理诊断6例(6/45)、刷检涂片诊断16例(16/40)、吸检涂片16例(16/42),灌洗液涂片诊断8例(8/16)。表明利用纤维支气管镜检查可提高痰菌阴性的下肺野结核的诊断率和了解支气管内膜病变情况。

[Objective] To improve the diagnosis of tuberculosis. [Methods] 57 cases of lower lung field tuberculosi with sputumnegative finding diagnosed by fiber bronchoscopic examination were reported. The major bronchoscopy findings were ulcerative granuloma, fibrostenosis, and inflammatory bronchial mucosa with congestion and edema. [Results] In 7 of 57 cases the pathological biopsy was diagnosed tuberculosis, bronchoscopic brushing smear was positive in 20 of 57, bronchoscopic aspirate smear was positive in 18 of...

[Objective] To improve the diagnosis of tuberculosis. [Methods] 57 cases of lower lung field tuberculosi with sputumnegative finding diagnosed by fiber bronchoscopic examination were reported. The major bronchoscopy findings were ulcerative granuloma, fibrostenosis, and inflammatory bronchial mucosa with congestion and edema. [Results] In 7 of 57 cases the pathological biopsy was diagnosed tuberculosis, bronchoscopic brushing smear was positive in 20 of 57, bronchoscopic aspirate smear was positive in 18 of 54, BAL (Bronchoalveolar lavage) smear was positive in 14 of 27. [Conclusion] It is suggested that fibroptic bronchoscopy is valuable in detecting pathological and micobiological evidence of lower lung field tuberculosis with smear-negative sputum and assessing the severity of endobronchial lesions.

目的提高结核病的及时诊断。方法利用纤维支气管镜(纤支镜)诊断痰菌阴性的下肺野结核57例。纤支镜下表现为溃疡性肉芽肿、气管黏膜充血水肿和纤维性狭窄。结果经纤支镜活检病理诊断7例(7/57),刷检涂片诊断20例(20/57),吸检涂片18例(18/54),灌洗液涂片诊断14例(14/27)。结论利用纤支镜检查可提高痰菌阴性的下肺野结核的诊断率和了解支气管内膜病变情况,从而指导临床治疗。

 
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