Clinical significance of electronic bronchoscopy in elderly sputum negative pulmonary tuberculosis
HU Yunqu1, REN Haibo2, and CUI Zhiru3
1.Department of Infectious Diseases, 2. Department of Anesthesiology, Xinjiang Autonomous Regional Corps Hospital, Chinese People's Armed Police Force,Urumpi 830091,China; 3.The Inner Mongolia Autonomous Region Corps Hospital of Chinese People's Armed Police Force, Huhhot 010040,China;
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.
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.
2018, Vol. 29 
