中国防痨杂志2025,Vol.47Issue(4):505-512,8.DOI:10.19982/j.issn.1000-6621.20240438
淋巴结瘘型气管支气管结核的支气管镜下诊疗进展
Progress in bronchoscopic diagnosis and treatment of lymph node fistula tracheobronchial tuberculosis
摘要
Abstract
Lymph node fistula tracheobronchial tuberculosis(TBTB)lacks clinical specific manifestations and can only be diagnosed through bronchoscopy,which is prone to misdiagnosis and missed diagnosis.In recent years,with the popularization and development of bronchoscopy and bronchial intervention techniques,the detection and cure rates of lymph node fistula TBTB have significantly increased.On the basis of systemic anti-tuberculosis drug therapy,other treatment techniques,such as local drug infusion under bronchoscopy,freezing,thermal ablation,and balloon dilation etc.,are becoming increasingly diverse.Choosing an appropriate comprehensive intervention therapy based on different bronchoscopic manifestations of lymph node fistula TBTB has become an effective auxiliary means for clinical treatment of TBTB.This article is a review about the bronchoscopic interventional treatment strategies for lymph node fistula TBTB by reviewing the characteristics of bronchoscopic manifestations and the efficacy of interventional treatment methods for lymph node fistula TBTB,as well as the research progress of new bronchoscopic therapies in recent years.It is hopefully to provide some help on choosing a fast and effective endoscopic treatment with personalized care for patients with lymph node fistula TBTB.关键词
结核/支气管疾病/淋巴结瘘/支气管镜检查/诊断技术和方法Key words
Tuberculosis/Bronchial diseases/Lymph node fistula/Bronchoscopy/Diagnostic techniques and procedures分类
临床医学引用本文复制引用
罗莉,罗林紫,尹曲华,周磊,卢志斌,丁衍,肖阳宝..淋巴结瘘型气管支气管结核的支气管镜下诊疗进展[J].中国防痨杂志,2025,47(4):505-512,8.基金项目
National Key Clinical Specialty Scientific Research Project(Z2023075) (Z2023075)
Clinical Medical Technology Innovation Guidance Project of Hunan Province(2021SK50701) 国家临床重点专科重大科研专项资助项目(Z2023075) (2021SK50701)
湖南省临床医疗技术创新引导项目(2021SK50701) (2021SK50701)