气管支气管结核的诊治进展

doi:10.3969/j.issn.2095-3755.2017.03.000

摘要/Abstract

摘要： 气管支气管结核是发生在气管支气管的、具有细菌学和组织病理学证据的结核感染，由于非特异性的临床表现和影像学检查结果而常被误诊为支气管哮喘、异物或肺癌。气管支气管结核是耐多药结核病产生的危险因素，可导致支气管狭窄等严重并发症，务必要进行早期诊断和治疗。气管支气管结核从发病到治愈，或发生严重支气管狭窄的整个过程是多变的。笔者对气管支气管结核的临床表现、早期诊断和治疗进行综述，以提高气管支气管结核的诊治水平。

Abstract: Tracheobronchial tuberculosis（TBTB）is one type of TB with microbiologically and histopathologically confirmed and occurs in the trachea and bronchi. The diagnosis of TBTB is often delayed due to its nonspecific clinical presentations and radiographic findings. It is often misdiagnosed as bronchial asthma, foreign body aspiration or lung cancer. TBTB is regarded as one of the risk factors for multidrug-resistant TB (MDR-TB) development, and may also cause other complications, such as bronchial stenosis with high morbidity. Early diagnosis and treatment of TBTB is therefore important and necessary. The development process and prognosis of TBTB are variable in different patients; some patients were cured while some became worse and developed to severe bronchial stenosis. In this review study, the clinical manifestations, early diagnosis and treatment of TBTB were evaluated. The aim is to improve the level of diagnosis and treatment of TBTB.

杨松,严晓峰. 气管支气管结核的诊治进展[J]. 结核病与肺部健康杂志, 2017, 6(3): 294-285. doi: 10.3969/j.issn.2095-3755.2017.03.000

YANG Song, YAN Xiao-feng. Research on progress of diagnosis and therapy of tracheobronchial tuberculosis[J]. Journal of Tuberculosis and Lung Health, 2017, 6(3): 294-285. doi: 10.3969/j.issn.2095-3755.2017.03.000

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