[Stepwise biopsy in diagnosis of bronchial tuberculosis].

Stepwise forceps biopsy was used in 29 patients with different forms of pulmonary tuberculosis, which may ascertain the pattern of bronchial inflammation and the pathogenetic mechanisms of extension of an abnormal process to the bronchial wall, which is important in determining treatment policy. A specific process was found to spread to the bronchial wall from the focus of lesion in the lung tissue itself in a bronchogenic fashion in most (62%) cases and from the bronchopulmonary lymph nodes by contact (38%). There are also data on the impact of controlled short-term chemotherapy in 24 patients with tuberculosis and specific bronchial lesion. The controlled short-term chemotherapy has been found to be effective in slower abacillation rates.