Fiberoptic Bronchoscopy in the Diagnosis of Pulmonary and Endobronchial Tuberculosis

Kim, Sung Kyu; Kim, Jin Min; Oh, Seung Heon; Ahn, Chul Min; Kim, Ki Ho

doi:1982.29.3.152

Tuberc Respir Dis > Volume 29(3); 1982 > Article

Original Article

Tuberculosis and Respiratory Diseases 1982;29(3):152-156.
DOI: https://doi.org/10.4046/trd.1982.29.3.152 Published online September 1, 1982.

Fiberoptic Bronchoscopy in the Diagnosis of Pulmonary and Endobronchial Tuberculosis

Sung Kyu Kim, Jin Min Kim, Seung Heon Oh, Chul Min Ahn, Ki Ho Kim

Department of Internal Medicine, College of Medicine, Yonsie University, Seoul, Korea

굴곡성 기관지경을 이용한 폐 및 기관지결핵의 진단

김성규, 김진민, 오승헌, 안철민, 김기호

Abstract

The bronchofiberscopy has been popular in diagnosing pulmonary disease since 1968. Recently there are some reports that fiberoptic bronchoscopy is a useful procedure for evaluating suspected cases of tuberculosis. In Our country with higher prevalence rate of tuberculosis it is important to find out the cases with tuberculosis early. Bronchofiberscopy was performed in 101 cases of suspected pulmonary and endobronchial tuberculosis from the clinical and roentgenographic findings. Sputum smear for the AFB was negative in all the patient before the examination. For the assessment of diagnostic yield. we considered only 75 cases who were diagnosed as tuberculosis by bronchoscopic procedures and 6 months' clinical follow up observation. Though the bronchoscopic procedures. tuberculosis was confirmed by direct smear in 27.5%, biopsy in 62%, culture in 56.5% and in general we could get the final diagnostic yield of 77.3% (58/75 cases). There was one pneumothorax and one hemoptysis over 30 ml. Those complications required no specific medical management.