肺结节病的临床特点及诊断学现状(附26例病例报告)

Clinical Feature and Diagnosis of Pulmonary Sarcoidosis(Clinical Analysis of 26 Pulmonary Sarcoidosis)

目的 分析肺结节病的临床特点,探讨诊断方法.方法 回顾性分析2004年3月～2009年9月有病理证据的肺结节病26例,报告肺结节病典型病例诊断过程及对临床特点和鉴别诊断进行分析.结果 26例病例中,以呼吸道症状出现者共22例,同时累及眼1例,无症状患者通过体检发现者3例.2例在确诊前被误诊为肺部炎症.2例误诊为肺结核,抗结核治疗3个月,其中8例通过开胸活检确诊(1例术前倾向于肺癌).结论 肺结节病临床上并非罕见,易被误诊,其诊断对指导治疗有重要的临床意义.参5.

Objective To analysis the clinical features of pulmonary sarcoidosis in order to explore the methods of diagnosis for this disease.Methods The clinical data of 26 cases of sarcoidosis diagnosed with pathological evidence from March 2004 to September 2009 were retrospectively analyzed.The diagnostic procedures of the classic cases were reported.The clinical features and the differential diagnosis were analyzed.Results 26 cases of pulmonary sarcoidosis were diagnosed with pathological evidence,of which 22 cases presented as the symptoms of respiratory tract,one case was involved eyes at the same time.Three cases had no symptoms.Two cases were misdiagnosed as pneumonia and two cases were misdiagnosed as pulmonary tuberculosis before final diagnosis.Eight cases got the final diagnosis by open lung biopsy.One case was considered as lung c;ncer before operation.Conclusion Pulmonary sarcoidosis is not rare in Chinese patients,which is usually misdiagnosed as pneumonia,pulmonary tuberculosis,lung cancer and so on.The final diagnosis is of clinic importance in the therapy of pulmonary sarcoidosis.5refs.