纤维支气管镜对肺结节病的诊断价值

Bronchofiberoscopy diagnosis value on Pulmonary Sarcoidosis

目的研究纤维支气管镜对肺结节病的诊断价值,提高临床诊断符合率。方法对22例肺结节病的临床资料进行回顾性调查分析。结果有病理学依据的22例肺结节病。男7例,女15例;年龄14￣66岁,症状除了呼吸道症状外,还有多系统损害表现,胸部X线片及CT提示双侧肺门肿大21例,单侧肺门肿大1例,纵隔淋巴结肿大16例,经皮肤黏膜淋巴结活检确诊8例,纤维支气管镜活检确诊14例。其中纤维支气管镜阳性率为77.8(14/18),结节病分类Ⅰ期16例,Ⅱ期6例。结论提示纤维支气管镜检查有助于肺结节病病理诊断并治疗。

[Objective] To study the Bronchofiberoscopy pathologic examination value on pulmonary sarcoidosis,to improve diagnosis rate. [Methods] With retrospecfly analyze to clinical data of 22 patients pulmonary sarcoidosis.[Results] There are 7 males and 15 females in 22 patients pulmonary sarcoidosis, 14-66 years old. Not only symptom of Respiratorys, but also the other system. Bilateral hila of pulmonary swell in X-ray and CT examination of chest 21 cases, single hila of pulmonary swell 1cases, mediastinal lymphadenhypertrophy 16 cases, live tissue examination of skin, mucosa and lymph node 8 cases, Bronchofiberoscopy 14cases. Positive rate of Bronchofiberoscopy is 77.8%（14/18）, The sort of pulmonary sarcoidosis, Ⅰ stage 16 cases,Ⅱ stage 6 cases. [Conclusions] Bronchofiberoscopy is helpful to diagnosis and treatment of pulmonary sarcoidosis.