Bronchoscopic Findings of Endobronchial Tuberculosis: 1 221 Cases Analysis_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

PengYu ,  HuChengping , YangHuaping , CaoLiming , PanPinhua , LiYuanyuan

Department of Pulmonary Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China;

Corresponding author：

HuChengping, Email: huchengp28@126.com

Keywords：

Tuberculosis; Bronchus; Bronchoscopy

DOI：

10.7507/1671-6205.2015046

Video：

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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: 10.7507/1671-6205.2015046 Copy

1.	《中华结核和呼吸杂志》编辑委员会.支气管结核的几点专家共识.中华结核和呼吸杂志,2009,32:568-571.
2.	Xue Q,Wang N,Wang J.Endobronchial tuberculosis:an overview. Eur J Clin Microbiol Infect Dis,2011,30:1039-1044.
3.	Kim HJ,Kim SD,Shin DW,et al. Relationship between bronchial anthracofibrosis and endobronchial tuberculosis. Korean J Intern Med,2013,28:330-338.
4.	李彩萍,靖秋生,王卫华.1271例支气管结核临床特征和纤支镜检查结果的分析.中国内镜杂志,2013,19:354-358.
5.	周传毅.支气管结核110例临床分析.中国内镜杂志,2006,12:1328-1330.
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.
7.	李园园,胡成平,聂华萍,等. 359例肺不张支气管镜下特点分析与治疗方法探讨.第三军医大学学报,2010,32:1549-1552.
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.

1. 《中华结核和呼吸杂志》编辑委员会.支气管结核的几点专家共识.中华结核和呼吸杂志,2009,32:568-571.
2. Xue Q,Wang N,Wang J.Endobronchial tuberculosis:an overview. Eur J Clin Microbiol Infect Dis,2011,30:1039-1044.
3. Kim HJ,Kim SD,Shin DW,et al. Relationship between bronchial anthracofibrosis and endobronchial tuberculosis. Korean J Intern Med,2013,28:330-338.
4. 李彩萍,靖秋生,王卫华.1271例支气管结核临床特征和纤支镜检查结果的分析.中国内镜杂志,2013,19:354-358.
5. 周传毅.支气管结核110例临床分析.中国内镜杂志,2006,12:1328-1330.
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.
7. 李园园,胡成平,聂华萍,等. 359例肺不张支气管镜下特点分析与治疗方法探讨.第三军医大学学报,2010,32:1549-1552.
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.

Chinese Journal of Respiratory and Critical Care Medicine

Bronchoscopic Findings of Endobronchial Tuberculosis: 1 221 Cases Analysis

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