Chinese Journal of Respiratory and Critical Care Medicine
Supervisor：Ministry of Education of the People's Republic of ChinaSponsor：West China Medical Center & West China Hospital, Sichuan University Editor-in-chief：LIN Jiangtao / LIU Chuntao Publishing period：
Monthly
ISSN：1671-6205CN：51-1631/R
Objective To analyze the clinic characteristics and the flexible bronchoscopic findings of 1 221 cases of endobronchial tuberculosis,and try to find out some useful clues for the diagnosis of endobronchial tuberculosis.Methods The clinic characteristics and the bronchoscopic findings of 1 221 cases of endobronchial tuberculosis were summarized and analyzed.Results In the 1 221 cases of bronchial tuberculosis,there were 491 males and 730 females with mean age of 45.5±16.8 years(ranged between 6 and 84 years). The peak incidence of endobronchial tuberculosis in females was between 20 and 50 years old,and in males was between 45 and 70 years old. The lesions were more common in the right lung (757 cases,62.00%). The most susceptible segment involved was the right upper lobe(316 cases,25.88%). The cases of left main bronchus tuberculosis (270 cases,22.11%) were more than right main bronchus tuberculosis(247 cases,20.23%). The most common bronchoscopic appearances were oedematous-hyperaemic and necrosis. The typical changes include caseous necrosis(117 cases,14.50%),fibrostenotic(130 cases,10.65%),and granuloma(92 cases,7.53%),which often occurred in the left main bronchus. The most common endoscopic classification of endobronchial tuberculosis was type Ⅱ(531 cases,43.49%)and type Ⅲ(505 cases,41.36%).Conclusions Bronchial tuberculosis occures in females more of ten than males. Female patients were mainly under the age of 50 years,while male patients was mainly above the age of 45 years. The most susceptible segments are the right upper lobe and the left main bronchus. The most common endoscopic classification is necrotizing ulcerative and granulation proliferative.
Citation：PengYu, HuChengping, YangHuaping, CaoLiming, PanPinhua, LiYuanyuan. Bronchoscopic Findings of Endobronchial Tuberculosis: 1 221 Cases Analysis. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(2): 182-185. doi: 10.7507/1671-6205.2015046Copy
Copyright ? the editorial department of Chinese Journal of Respiratory and Critical Care Medicine of West China Medical Publisher. All rights reserved
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6. Kim HC,Kim HS,Lee SJ. Endobronchial tuberculosis presentingas right middle lobe syndrome:clinical characteristics and bronchoscopic findings in 22 cases.Yonsei Med J,2008,49:615-619.
8. Hoheisel G,Chan BK,Chan CH,et al. Endobronchial tuberculosis:diagnostic features and therapeutic outcome.Respir Med,1994,88:593-597.
9. Park IW,Choi BW,Hue SH.Prospective study of corticosteroid as an adjunct in the treatment of endobronchial tuberculosis in adults.Respirology,1997,2:275-281.
10. Kim YH,Kim HT,Lee KS,et al. Serial fiberoptic bronchoscopic observation of endobronchial tuberculosis before and early after antituberculosis chemotherapy. Chest,1993,103:673-677.
11. Lee JH,Park SS,Lee DH,et al. Endobronchial tuberculosis:clinical and bronchoscopic feature in 121 cases.Chest,1992,102:990-994.
12. Chung HS,Lee JH. Bronchoscopic assessment of the evolution of endobronchial tuberculosis. Chest,2000,117:385-392.
13. Chung HS,Lee JH,Han SK,et al. Classification of endobronchial tuberculosis by the bronchoscopic features. Tuberc Respir Dis,1991,38:108-115.
14. Shin JA,Chang YS,Kim TH, et al. Fiberoptic bronchoscopy for the rapid diagnosis of smear-negative pulmonary tuberculosis. BMC Infec Dis,2012,12:141.
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