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肺结核的确诊有赖于细菌学的证实。如何提高肺结核尤其是可疑肺结核的确诊是众所关注的问题。本文结合我院1985年1月～1986年7月对30例无痰或反复痰涂片找抗酸杆菌阴性的临床可疑肺结核患者,经纤维支气管镜(简称纤支镜)刷检、灌洗、活检及检后查痰等确诊为肺结核者15例。材料与方法一、病例选择:30例均为临床可疑肺结核而无痰或反复痰涂片找抗酸杆菌阴性(至少3次厚涂片染色镜检)。x线胸片表现:双侧病变者7例,单侧病变者22例,正常者1例。病变在上叶11例,下叶5例,右中叶3例、肺门阴影增大7例,右下肺不张1例,局部有透亮区3例。二、性别与年龄:男性22例、女性3例。年龄21～69岁。其中41～69岁20例。三、方法:Olympus BF—B_3R型纤支镜局麻下
The diagnosis of tuberculosis depends on the bacteriological confirmation. How to improve the diagnosis of tuberculosis, especially suspected tuberculosis is a concern. In this paper, our hospital from January 1985 to July 1986 on 30 cases of sputum smear or sputum smear to find the acid-fast bacilli negative clinical suspicious tuberculosis patients by fiberoptic bronchoscopy (referred to as bronchoscopy) brushing, lavage, Biopsy and post-examination sputum confirmed as pulmonary tuberculosis in 15 cases. Materials and methods First, the choice of cases: 30 cases were clinically suspected tuberculosis without sputum or sputum smear to find negative for acid-fast bacilli (at least 3 times thick smear microscopy). X-ray showed: bilateral lesions in 7 cases, unilateral lesions in 22 cases, normal in 1 case. Lesions in the upper lobe in 11 cases, lower lobe in 5 cases, right middle lobe in 3 cases, hilar shadow increased in 7 cases, right lower lung atelectasis in some cases with translucent zone in 3 cases. Second, gender and age: 22 males and 3 females. Age 21 ~ 69 years old. Of which 41 to 69 years old in 20 cases. Third, the method: Olympus BF-B_3R bronchoscopy under local anesthesia