摘要目的 分析支气管结核的支气管镜下表现,并对支气管结核的镜下分型进行探讨.方法 对支气管黏膜组织病理确诊为支气管结核的258例患者的临床症状、胸部影像学表现、发病部位及镜下表现进行回顾性分析:结果 258例支气管结核中炎症浸润型47.3%,溃疡及干酪坏死型22.1%,肉芽增生型16.3%.瘢痕狭窄型9.7%,淋巴结支气管瘘3.1%,管壁软化型1.6%;其中上叶及下叶背段支气管结核占60.9%.结论 将支气管结核分为炎症浸润型、溃疡及干酪坏死型、肉芽增生型、瘢痕狭窄型、管壁软化型及淋巴结支气管瘘6型较为合理,有利于指导诊断和治疗.

abstractsObjective To analyze the bronchoscopic features of endobronchial tuberculosis(EBTB) and study the classification of bronchoscopic features. Methods The clinical and bronchoscopic features of 258 histopathologically diagnosed patients were retrospectively analyzed. Results The bronchoscopic features of EBTB were thus classified into six types: exudative type 47.3%, ulcerative and caseating type 22. 1%,granular hyperplasy type 16.3%, cicatrical type 9. 7%, lymph-bronchi fistula 3.1%, bronchus collapse type 1.6%. EBTB was more common in upper lobe and superior bronchi of lower lobe (60. 90%).Conclusions It is more reasonable to classify bronchoscopic features of EBTB into the following six types: exudative type, ulcerative and caseating type, granular hyperplasy type, cicatrical type, bronchus collapse type, and lymph-bronchi fistula, which will favor the relevant diagnosis and treatment.