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1 clinical data
1.1 General Information The group of 30 patients, 10 males and 20 females, aged 17 to 69 years old, average 35.13 years of age. Where 60 years in 2 cases (6.7%), men and women 1 cases.
Active tuberculosis about 10% to 40% associated with endobronchial tuberculosis (EBTB) [1], because clinical and imaging non-specific and misdiagnosis is higher. Bronchoscopy (fiberoptic bronchoscopy, FB) the application of EBTB diagnosis and treatment is of great significance. Hospital in April 2003 - June 2005 for suspected EBTB 33 patients underwent FB, diagnosed 30 cases are on FB check for EBTB diagnosis were discussed.

1.4 auxiliary examination in 28 cases (93.3%) chest X-ray,franklin marshall soldes, chest CT shows patchy shadows, 2 cases (6.7%), chest radiography, chest CT only see the texture thicker. PPD strongly positive in 10 cases (33.3%),mbt chaussures paris, general positive in 19 cases (63.3%), positive in 1 case (3.3%).
2.3 pathology and bacteriological sputum examination all patients underwent bacteriological examination and bronchoscopy (brush biopsy and biopsy). Before bronchoscopy sputum acid-fast bacilli positive in 18 cases (60.0%), bronchoscopy brush biopsy to find acid-fast bacilli in 23 cases (76.7%), biopsy see changes in chronic caseating granulomas in 11 cases (36.7%). FB (brush biopsy + biopsy) positive rate was 83.3% (25/30), significantly higher than the previous FB sputum acid-fast bacilli sputum positive rate of 60.0% (18/30), the difference was significant (P <0.05).
2 results
1.2 Clinical manifestations of cough in 28 cases (93.3%), in which irritating cough in 17 patients (56.7%), sputum in 11 cases (36.7%); shortness of breath in 11 patients (36.7%), sputum blood ( hemoptysis) 7 (23.3%), fatigue in 8 cases (26.7%), fever in 4 cases (13.3%).

1.3 complications of diabetes 2 patients (6.7%), laryngeal tuberculosis in 2 cases (6.7%), pneumothorax in 1 case (3.3%).
2.1 bronchoscopy bleeding disease seen under the 14 patients (46.7%); congestion and edema in 11 cases (36.7%); endometrial nodule in 3 cases (10.0%); milky secretion of substances covered by 2 (6.7%). Cases lead to sub-section above stenosis in 23 cases (76.3%). 5 cases (16.7%) had complete obstruction of the bronchial sub-paragraph above,abercrombie femmes, leading to atelectasis.
2.2 lesions on the right trachea, bronchus in 21 cases (70.0%). Among them, the right main bronchus in 4 cases (13.3%), right upper bronchus in 8 cases (26.7%), middle bronchus in 4 cases (13.3%), lower right bronchus in 8 cases (26.7%), including under the dorsal segmental bronchus in 5 cases (16.7 %), basal segment in 2 cases (6.7%), within the basal segment in 1 case (3.3%). The left side of the trachea, bronchus in 8 cases (26.7%), of which the left main bronchus in 2 cases (6.7%), left bronchus in 3 cases (10.0%) (including the tongue leaves 2 cases),franklin marshall paris, left in 3 cases (10.0%). Two or more of bronchial involvement in 5 cases (16.7%), cross-leaf 1 (3.3%). Trachea and carina involvement in 4 cases (13.3%), 2 (6.7%) accompanied by laryngeal tuberculosis.
Fiberoptic bronchoscopy in the diagnosis of endobronchial tuberculosis application


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