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《The Journal of Practical Medicine》 2013-23
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Correlation between radiological characteristics and bronchoscopy manifestation in patients with pulmonary tuberculosis combined with tracheobronchial tuberculosis

KUANG Hao-bin;DING Xiu-xiu;LIANG Min-qing;FANG Qiong;HE Qiao;CHEN Wu;TAN Shou-yong;Guangzhou Chest Hospital;  
Objective To explore the correlation between radiological characteristics and bronchoscopy manifestation in patients with pulmonary tuberculosis(PTB) combined with tracheobronchial tuberculosis(TBTB), and to improve the rate of early detection of TBTB. Methods Three hundred and thirty patients with PTB and TBTB in our hospital from Jul 2011 to Feb 2012 were included. The radiological characteristics, bronchoscopy manifestation and their correlation were analyzed. Results Among the 330 patients, 188 patients had cavity in lung(57.0%), of which, 99 cases had cavity located in the upper right lobe(52.6%), 89 cases had that located in the upper left lobe(47.3%), and 51 cases in the lower left lobe(27.1%). 77 patients had atelectasis(23.3%). 35 cases had TBTB in trachea(10.6%), 131 cases had that in upper right bronchial(39.7%), 30 cases in right middle bronchus(9.1%), 50 in right lower lobe bronchus(15.2%), 30 in right main bronchus(9.1%), 121 in upper left inherent bronchial(36.7%), 23 in upper left ligule bronchial(6.7%), 103 in left lower bronchial(31.2%), and 60 in left main bronchus(18.2%). According to the typing of TBTB, 152 cases were inflammatory hyperaemia(Ⅰ)(46.1%), 19 cases were cheesy necrosis and mucosal ulceration( Ⅱ)(5.8%), 91 were hyperplastic polyp( Ⅲ)(27.6%), and 68 were bronchostenosis(Ⅳ)(20.6%). The cavity and atelectasis were related to the TBTB affected parts and TBTB types(P 0.001). The PTB with cavity was mainly combined with inflammatory hyperaemia type, PTB with no cavity was mainly combined with hyperplastic polyp type(P 0.001), and PTB with atelectasis was mainly combined with bronchostenosis type(P 0.001). Conclusion The bronchoscopy can help to find TBTB for the PTB with cavity or atelectasis early.
【Fund】: 广东省医学科研项目(编号:A2011497);; 广州市卫生局科研项目(编号:201102A213156)
【CateGory Index】: R521.2
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