【摘要】 目的 提高对支气管结核的X线、CT、纤支镜表现的认识，避免误诊。方法 72例支气管结核中男35例，女37例，年龄10~80岁，平均40.2岁。X线检查50例，CT检查42例，纤支镜50例。由6名影像医师、2名肺科医师诊断，总结X线、CT、纤支镜表现及分析误诊原因。结果 X线误诊30例，CT误诊19例，纤支镜误诊32例。结论 支气管结核其X线、CT、纤支镜表现各有特点，认为综合应用多种检查技术，对提高诊断准确率具有重要意义。

    【关键词】 结核；支气管；X线；计算机断层扫描；纤维支气管镜

    Diagnostic characteristics of X-ray,CT and bronchoscopy for bronchus tuberculosis

    XU Xing-gang,LIU Jian-liang.

    Sixth Hospital of Shaoxing,Shaoxing 312000,China

    【Abstract】 Objective To study the presentation of X-ray,CT and bronchoscopy to avoidance of misdiagnosis.Methods Seventy-two bronchial TB were studied by using multiple imaging methods, which confirmed pathologically and/or bacterialogically in 50, only chinical diagnosis in 22 patients. Application of X-ray, CT and bronchoscopy on the diagnosis of bronchial tuberculosis was suggested and the features of each diagnostic method were analyzed.Results In this study,misdiagnosis by X-ray 30 cases,CT 19 cases,and bronchoscopy 32 cases. Conclusion The authors thought that combined application of multiple imaging technology was essential to increase the accuracy of diagnosis of bronchial tuberculosis. ......