电子支气管镜检查对老年痰菌阴性疑似肺结核的诊断价值

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (632 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the value of electronic bronchoscopy in the diagnosis of sputum bacteria resistant pulmonary tuberculosis in the elderly.Methods The clinical data of 60 elderly patients with suspected sputum negative bacterial tuberculosis treated in our hospital was analyzed retrospectively.Results Brush biopsy was positive in 37 cases (61.67%), lavage fluid in 32 cases (53.33%), biopsy in 34 cases (28.33%), including 19 cases (31.67%) whose biopsy and brush biopsy were both positive. There was no statistically significant difference (χ²=3.01,P=0.07) between the positive rate of lavage fluid and that of brush lavage. The positive rate of brushing combined with BALF was higher than that of brushing or BALF alone,and the difference was statistically significant (χ² respectively 11.59 and 24.60, all P<0.05).Conclusions The clinical symptoms of senile pulmonary tuberculosis are not typical. Bronchoscopy and brushing tests are of diagnostic value for bacterial negative pulmonary tuberculosis, and bronchoscopy should be performed as early as possible.

Key words： the elderly bronchoscopy pulmonary tuberculosis

Received: 20 August 2017

ZTFLH:

R563

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HU Yunqu
	REN Haibo
	and CUI Zhiru

Cite this article:

HU Yunqu,REN Haibo,and CUI Zhiru. Clinical significance of electronic bronchoscopy in elderly sputum negative pulmonary tuberculosis[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(1): 66-68.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I1/66

[1]	刘明. 微卡联合莫西沙星治疗复治涂阳肺结核的疗效观察[J].临床肺科杂志, 2013,18(2):351-352.
[2]	张亚平,章燕, 伯苏红. 纤维支气管镜在老年肺结核患者的应用[J]. 临床肺科杂志, 2013,18(2):350-351.
[3]	蔡东联. 危重患者的临床营养治疗[J]. 武警医学, 2006, 17(2):83-87.
[4]	何花, 曾谊. 多指标联合检测对肺结核的临床诊断价值[J]. 临床肺科杂志, 2011, 8(16):1271-1272.
[5]	成诗明,马玙. 痰涂片阴性活动性肺结核的诊断治疗与管理[M]. 北京:人民卫生出版社,2009:134.
[6]	唐神结, 高文. 临床结核病学[M]. 北京:人民卫生出版社,2011: 551.
[7]	马屿,朱莉贞,潘毓萱.结核病[M].北京:人民卫生出版社,2006: 158-159.
[8]	陈灏珠,钟南山,陆再英,等.内科学[M]. 8版.北京: 人民卫生出版社, 2015: 68.
[9]	Lumb,R, Bastion I,Carter R, et al .Tuberculosis in Australia:bacteriologic ally confirmed cases and drug resistance , 2007[J]. Common Dis Intel, 2009, 33(3): 298-303.
[10]	中华医学会结核病学分会. 气管支气管结核诊断和治疗指南试行[J]. 中华结核和呼吸杂志, 2012, 5(8): 581-587.
[11]	顾晔,郝晓晖,沈芸,等. 磁导航支气管镜诊断菌阴肺结核三例并文献复习[J]. 中国防痨杂志,2014, 36(12):1084-1088.