关键词: 结核,肺/并发症, 曲霉菌病, 肺疾病,真菌性, 支气管镜检查

Abstract: Objective To compare clinical value of bronchofibroscope excision and surgical resection in treatment of aspergilloma inside cavities of pulmonary tuberculosis.Methods One hundred and eighty three hospitalized cases with aspergilloma inside cavities of pulmonary tuberculosis were analyzed retrospectively on time of therapy,treatment costs,complication of therapy and efficacy.Results Of 183 cases,126 cases received excision of aspergilloma by bronchoscope and 57 cases received surgical resection.Average time of therapy were 49 days and 46 days using bronchofibroscope excision and surgical resection,respectively.Average treatment costs were 26 535 yuan and 50 296 yuan,respectively.Incidence rate of complications using surgical resection was higher than that of bronchofibroscope excision.But surgical resection was complete and low rate of relapse.Conclusion Bronchofibroscope excision can get relatively thorough,efficacy,less complication and low costs in patients with aspergilloma inside cavities of pulmonary tuberculosis.It is a better method in patients who are poor pulmonary function reserve,high surgical risk and reluctant to accept surgery.

Key words: Tuberculosis,pulmonary/complication, Aspergillosis, Lung disease,fungal, Bronchoscopy