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支气管内膜结核的内镜分类方法有多种,但均为治疗前的病期和病型分类,而治疗过程中的变化尚无一种分类法。本文按胃溃疡的崎田分类法对31例支气管内膜结核患者(男15例,女16例;年龄17～83岁)治疗过程中的病变表现进行分类,旨在探讨临床特征与病期之关系。一、排菌率A期(活动期,不伴有上皮再生的溃疡)痰菌涂片阳性率为88.5%(23/26),显著高于H期(治愈期,伴有上皮再生的溃疡)的12.9%(4/31);S_1期(伴有隆起的疤痕期)的为7.7%(1/13)和S_2期(不伴隆起的疤痕期)的为3.75%(1/27)(P均<0.01)。痰菌培养阳性率A期为88.5%(23/26)显著高H期的20%(6/30),S_1期的0%(0/13)和S_2期的0%(0/27)(P均<0.01)。此外,根据有些溃疡病患者治疗5个月后才转变为H期,因此仅凭有无溃疡性病变很难确定是否
Endoscopic bronchial endoscopy classification of a variety of ways, but are pre-treatment period and type of disease classification, and changes in the course of treatment there is no classification. In this paper, 31 cases of endobronchial tuberculosis patients (15 males and 16 females; aged 17 to 83 years) were classified according to the Zaki classification of gastric ulcer to discuss the relationship between clinical features and disease duration . First, the discharge rate of A stage (active stage, not associated with epithelial regeneration of ulcers) sputum smear positive rate was 88.5% (23/26), significantly higher than the H period (healing period, with epithelial regeneration of ulcers) (4/31), 7.7% (1/13) in S 1 (with elevated scar), and 3.75% (1/27) in S 2 (non-elevated scar) All <0.01). The positive rate of sputum culture was 88.5% (23/26) in 20% (6/30) of H stage, 0% (0/13) in S 1 stage and 0% (0/27) in S 2 stage P <0.01). In addition, according to some ulcer patients after treatment for 5 months to change to H period, so alone with no ulcerative lesions is difficult to determine whether