Characteristics and risk factor analysis of 410 cases of tracheobronchial tuberculosis
- Authors:
- Xinmei Guo
- Chunyan Wang
- Xiaoping Wang
- Juan Ma
- Li Xv
- Tingting Luan
- Changwei Kou
View Affiliations
Affiliations: Tuberculosis Division, Shandong Chest Hospital, Jinan, Shandong 250013, P.R. China
- Published online on: June 24, 2014 https://doi.org/10.3892/etm.2014.1804
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781-784
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Abstract
The present study analyzed the characteristics and risk factors associated with tracheobronchial tuberculosis (TBTB) in 410 patients with TBTB. Retrospective analysis was performed on the clinical features, bronchoscopy performance, bacteriological examination, imaging and treatment of 410 patients who were diagnosed with TBTB using bronchoscopy. Among the 410 patients, 10 patients underwent chest X‑ray which revealed two cases of atelectasis, eight cases of patch or spot shadows, three cases of cavity, one case of nodule and one case with no abnormalities. The remaining 400 patients underwent computed tomography chest scans and/or airway reconstruction examinations. Among all the lesion types, the cavity type was found to be the most likely to cause bronchial stenosis or obstruction, with statistically significant differences when compared with the congestion, stenosis or scar lesion types (P<0.01). Moreover, for the cavity type, there were 194 sites of obstruction prior to therapy; however, only 23 sites of obstruction remained following therapy. Furthermore, there were 34 sites without stenosis prior to therapy and 205 sites without stenosis following therapy. The number of sites of obstruction was significantly decreased and the number of sites without stenosis was increased upon therapy. These findings suggest that the cavity type is the most sensitive type to therapy among the five types of TBTB lesion.
View References
|
1
|
Chung HS and Lee JH: Bronchoscopic
assessment of the evolution of endobronchial tuberculosis. Chest.
117:385–392. 2000. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Wang WB, Zhao Q, Yuan ZA, Jiang WL, Liu ML
and Xu B: Deaths of tuberculosis patients in urban China: a
retrospective cohort study. Int J Tuberc Lung Dis. 17:493–498.
2013. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Chinese Medical Association Tuberculosis
Branch; Editorial Board of The Journal of Tuberculosis and
Respiratory Disease. Tracheobronchial tuberculosis diagnosis and
treatment guidelines (Trial). Chinese Journal of Tuberculosis and
Respiratory Diseases. 35:581–587. 2012.(In Chinese).
|
|
4
|
Ehrlich RI, Adams S, Baatjies R and
Jeebhay MF: Chronic airflow obstruction and respiratory symptoms
following tuberculosis: a review of South African studies. Int J
Tuberc Lung Dis. 15:886–891. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Watanabe A: Clinical manifestation of Q
fever and tuberculosis, similarly caused by intracellular
parasites. Kekkaku. 81:543–549. 2006.(In Japanese).
|
|
6
|
Kashyap S, Mohapatra PR and Saini V:
Endobronchial tuberculosis. Indian J Chest Dis Allied Sci.
45:247–256. 2003.
|
|
7
|
Xue Q, Wang N, Xue X and Wang J:
Endobronchial tuberculosis: an overview. Eur J Clin Microbiol
Infect Dis. 30:1039–1044. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Rikimaru T: Endobronchial tubereulosis.
Expert Rev Anti Infect Ther. 2:245–251. 2004. View Article : Google Scholar
|
|
9
|
He RX and Zhao SY: Analysis of clinical
manifestations and diagnosis of 102 children with bronchial
tuberculosis. Zhonghua Er Ke Za Zhi. 50:737–739. 2012.(In
Chinese).
|
|
10
|
Tang SJ, Xiao HP, Hu HL, et al: Clinical
characteristic, diagnostic standard and types of endobronchial
tuberculosis: An analysis of 278 cases. Chinese Journal of
Clinicians (Electronic Edition). 3:32–40. 2009.(In Chinese).
|
|
11
|
Jung SW, Kim MW, Cho SK, et al: A case of
endobronchial aspergilloma associated with foreign body in
immunocompetent patient without underlying lung disease. Tuberc
Respir Dis (Seoul). 74:231–234. 2013. View Article : Google Scholar : PubMed/NCBI
|
|
12
|
Verma A, Park HY, Lim SY, et al:
Posttuberculosis tracheobronchial stenosis: use of CT to optimize
the time of silicone stent removal. Radiology. 263:562–568. 2012.
View Article : Google Scholar : PubMed/NCBI
|
|
13
|
Zhu XH, Shao J, You ZQ, et al: The
diagnostic value of multi-slice spiral CT in endobronchial
tuberculosis. Chinese Journal of Radiology. 38:26–29. 2004.(In
Chinese).
|
|
14
|
Jiang HN, Zuo JM and He LX: The diagnosis
and therapy advancement of tracheo-bronchial tuberculosis. Bulletin
of the Chinese Antituberculosis Association. 22:50–54. 2000.(In
Chinese).
|
|
15
|
Iwamoto Y, Miyazawa T, Kurimoto N, et al:
Interventional bronchoscopy in the management of airway stenosis
due to tracheobronchial tuberculosis. Chest. 126:1344–1352. 2004.
View Article : Google Scholar : PubMed/NCBI
|
|
16
|
Chhajed PN, Malouf MA and Glanville AR:
Bronchoscopic dilatation in the management of benign
(non-transplant) tracheobronchial stenosis. Intern Med J.
31:512–516. 2001. View Article : Google Scholar : PubMed/NCBI
|
