【摘要】目的探讨纤支镜检查对支气管结核的诊断价值。方法回顾性分析46例支气管内结核患者经纤支镜检查的病理、细胞、细菌学与临床表现。结果46例患者临床表现以咳嗽、咳痰为主要症状；X线表现以肺内片状浸润及肺不张为最见；纤支镜下表现以内芽增殖型为主；刷片抗酸杆菌阳性率最高。结论纤支镜检查对支气管结核、肺癌的鉴别诊断有重要意义。

    【关键词】 支气管结核纤支镜诊断

    【中图分类号】R521.2 【文献标识码】A【文章编号】1674-0742(2011)04(a)-0000-00

    【abstract】 objectiveTo investigate the diagnostic value of Fiberoptic bronchoscopy to endobronchial tuberculosis. Methods Retrospective analysis 46 cases Endobronchial tuberculosis patients via mortem endoscopy pathology, cells, bacteriology and clinical manifestation. Results46 cases patients the clinical manifestations with a cough, sputum as the main symptoms. The X-ray performance in the lungs flake infiltration andlungs not spread common, Mortem endoscopy microscopically within buds identified primarily ,Brush slice resistance acid bacilli positive highest rate. ConclusionFiberoptic bronchoscopy to endobronchial tuberculosis 、lung cancer the differential diagnosis have a vital significance .

    【key words】 bronchial tuberculosis, Fiberoptic bronchoscopy; diagnosis

    支气管内膜结核(endobronchial tuberculosis,EBTB)又称支气管结核 ......