Email Alert | RSS    帮助

中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (3): 143-145.

• 论著 • 上一篇    下一篇

纤支镜灌洗液的结核分支杆菌快速培养对不典型肺结核的诊断价值

彭勋1;常占平1;汪晓琴1;李站领1;金秀萍1;张立慧1;王洪芬2;   

  1. 1.河北省秦皇岛市第三人民医院 秦皇岛 066000; 2.秦皇岛市中医院 秦皇岛 066000;
  • 出版日期:2003-03-10 发布日期:2003-11-03
  • 基金资助:
    河北省科技发展与研究指导项目 (022761100)

Diagnostic value of rapid culture for Mycobacterium tuberculosis in BALF in atypical pulmonary tuberculosis

PENG Xun 1,CHANG Zhan-ping,WANG Xiao-qin,et al.   

  1. 1.Qinhuangdao Third People’s Hospital,Qinhuangdao 066000
  • Online:2003-03-10 Published:2003-11-03

摘要: 目的 评价纤维支气管镜(以下简称纤支镜)支气管肺泡灌洗液(BALF)的结核分支杆菌快速培养对不典型肺结核的诊断价值。方法 选无痰或痰菌阴性的不典型肺结核患者49例行纤支镜检查,进行活检、刷检、BALF经BBLMGIT分支杆菌快速培养查结核杆菌。结果 49例经纤支镜刷检、BALF快速培养结核分支杆菌检出率分别是67.4%、83.7%,其中15例经纤支镜肺活检,10例病理证实为结核肉芽肿,检出率为66.7%。结论 纤支镜对无痰或痰菌阴性下BALF行结核分支杆菌快培对不典型肺结核具有较高的诊断价值,快速,阳性率较高。根据镜下所见采用不同的取材方法可望提高诊断率。

关键词: 结核,肺/诊断, 支气管肺泡灌洗液,培养

Abstract: Objective To evaluate the diagnostic significance of rapid culture for Mycobacterium tuberculosis in bronchoalveolar lavage fluid (BALF) for atypical pulmonary tuberculosis.Methods Bronchial brushing,and rapid culture for Mycobacterium tuberculosis were performed for 49 cases with atypical pulmonary tuberculosis who had no sputum or negative sputum acid-fast staining,of them 15 cases underwent transbronchial lung biopsy.Results Of the 49 cases,67.4%(33/49) were confirmed by bronchial brushing,83.7% (42/49) were confirmed by rapid culture for Mycobacterium tuberculosis in BALF.Among the 15 cases who underwent transbronchial lung biopsy,pulmonary tuberculosis was confirmed in 10 cases (66.7%).Conclusion Rapid culture for Mycobacterium tuberculosis in BALF is of significant value for the diagnosis of atypical pulmonary tuberculosis with no sputum or negative sputum acid-fast staining.

Key words: Tuberculosis,pulmonary/diagnosis, BALF, Culture