Resultados bacteriológicos: de 84 pacientes ( con sospecha de TBC) resultaron 20 pacientes (23.8%) con baciloscopias positivas;
de 48 muestras para cultivo de gérmenes comunes se identificaron: pseudomonas 20 muestras (46.5%), estreptococos 08 muestras( 18.6%) , estafilococos 04 muestras (9.3%), Neisseria 03 muestras (7%) , y 08 muestras (18.4%) de otros gérmenes y en examen para hongos , de 71muestras se obtuvo 04 (5.6%) cultivos positivos (3:candida albicans,1:aspergillus fumigatus).
Resultados citológicos: En 36 pacientes se realizó papanicolao (PAP) en 5 (13.9%) se evidenciaron células sospechosas de neoplasia. Resultados histológicos: En 86 pacientes se realizaron biopsias; los resultados fueron bronquitis crónica 43 (46.7%), Inflamación crónica 15 (16%), bronquitis aguda 07 (7.6%), metaplasia epidermoide 07 (7.6%), granuloma tuberculoso 02 (2.2%) y otros más.
Conclusiones: Se demostró la importancia del uso de la broncofibroscopìa flexible en el diagnóstico de enfermedades infecciosas en nuestro medio, siendo el mayor aporte en la detección precoz de la TBC posibilitando su tratamiento con los mas importantes beneficios epidemiológicos, sin dejar de mostrar su aporte importante en el diagnóstico de neoplasias pulmonares.
SUMARY
A descriptive and prospective study of the utility of fiberoptic bronchoscopy in the diagnosis of prevalent pulmonary diseases was undertaken. One hundred and forty one fiberoptic bronchoscopy were done.
Bacteriological results: among 84 patients (with suspect tuberculosis),20 patients (23.8%) had positive acido fast bacilli smears. Among 48 samples that underwent routine bacterial culture testing, 20 samples grew pseudomonas (46.5%), 8 samples with streptococcus (18.6%), 4 samples with staphylococci (9.3%), 3 samples with Neisseria (7%) and 8 samples (18.4%) with other bacteria. Of 71 patients in 4 (5.6%) fungal culture were positive (3:candida albicans,1:aspergillus fumigatus). Cytological results: papanicolao smears were done in 36 patients, in 5 patients (13.9%) suspicious neoplastic cells were detected.
Histological result: in 86 patients ,biopsy specimens were obtained, the following results were seen : chronic inflammation in 15 (16%) ,acute bronchitis in 7(7.6%), epidermoid metaplasia 7(7.6%), tuberculous granuloma in 2 (2.2%) among other diagnoses.
Conclusions: The importance of the use of the flexible fiberoptic bronchoscopy was demoustrated in the diagnosis of infections diseases, contributing the most to the early diagnosis of tuberculosis which results in early treatment and epidemiologic benefit, bronchoscopy also aided in the detection of lung neoplasm.
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