Diagnosis and treatment of bronchoscope in bronchial tuberculosis

Objective To analyze bronchoscope's application value in the diagnosis of bronchial tuberculosis which diagnosed as simply pulmonary tuberculosis by CT.Methods A retrospective analysis of clinical data of 22 cases with bronchial tuberculosis complicated with pulmonary tuberculosis in our hospital from Jan 2009 to Dec 2010 was made.Results Manifest bronchial stenosis or bronchial obstruct were not detected in all 22 patients by CT.The symptoms of the patients were refractoriness cough,mass acid-fast bacilli in sputum,pulmonary lesions changed diversity and sputum hard to turn negative.The results showed inflammatory infiltration change in 6 cases,ulcers and cheese necrosis change in 8 cases,and proliferation of granulation change in 6 cases under bronchoscope.All patients were taken systemic administration and part administration according to individual difference for 2 months,the symptoms of all patients resolved within 2 months,and sputum turned negative.Only 3 patients remained light bronchial stenosis.Conclusion When the patients diagnosed as simply pulmonary tuberculosis by CT appear symptoms mentioned above,it is critical to consider existence of bronchial tuberculosis and Taking bronchoscope examination and part administration early can improve prognosis.