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为了探讨纤支镜检查对不典型肺结核的诊断价值,对临床表现及胸部X线或CT检查不典型的肺结核患者94例(其中老年组33例)行纤支镜检查,在病变部位取活检及刷检,标本送病理学及抗酸杆菌检查。结果活检呈结核病变且刷检抗酸杆菌阳性老年组4例,非老年组5例;仅活检呈结核病变老年组2例,非老年组10例;仅刷检抗酸杆菌阳性老年组27例,非老年组46例;合并支气管肺癌老年组5例,均为鳞癌,非老年组3例,其中鳞癌2例,腺癌1例。认为纤支镜检查是诊断不典型肺结核的重要手段。
In order to explore the diagnostic value of fiberoptic bronchoscopy for atypical pulmonary tuberculosis, the clinical manifestations and chest X-ray or CT examination of 94 cases of pulmonary tuberculosis patients (including 33 cases of elderly patients) underwent fiberoptic bronchoscopy, biopsy in the lesion and Brush inspection, specimens sent pathology and acid-fast bacilli examination. Results The results of biopsy showed tuberculosis lesions and brush acid-fast bacilli positive elderly group of 4 cases, non-elderly group of 5 cases; only biopsy showed tuberculosis in the elderly group of 2 cases, non-elderly group of 10 cases; only brush acid-fast bacilli positive elderly group of 27 cases , 46 cases of non-elderly group; 5 cases of elderly patients with bronchial lung cancer, were squamous cell carcinoma, non-elderly group of 3 cases, of which 2 cases of squamous cell carcinoma, adenocarcinoma in 1 case. Fiberoptic bronchoscopy is an important means of diagnosis of atypical pulmonary tuberculosis.