弥漫性肺病的临床诊断分析(附111例报告)

The analysis of clinical diagnosis of diffuse lung diseases

目的了解弥漫性肺病的疾病构成,分析其临床诊断的方法。方法回顾总结111例弥漫性肺病患者的临床经过。结果111例患者中81例确诊,其中以特发性肺纤维化(IPF)和胶原血管病比例最高,分别为30例(27.0%)和23例(20.7%)。经纤维支气管镜检查获得病理标本和经开胸肺活检(OLB)各9例,共18例(16.2%)。诊断未明30例。结论IPF和胶原血管病是弥漫性肺病最常见的疾病类型。高分辨CT(HRCT)和纤维支气管镜检查对弥漫性肺病的诊断具有重要意义。

Objective To study the composition of diffuse lung diseases. To analyze the diagnostic methods of diffuse lung diseases. Methods Retrospectively reviewed the diagnostic pathway of 111 cases of diffuse lung diseases. Resuits 81 of 111 cases were diagnosed, among them 30 cases （27.0%） were idiopathic pulmonary fibrosis （IPF） and 23 cases were collagen vascular diseases. 18 cases （16.2%） were pathologically diagnosed, of them the diagnosis were made by samples from fibroptic bronchoscopy and open lung biopsy （OLB） in 9 cases separately. 30 cases were unclassified. Conclusions Idiopathic pulmonary fibrosis and collagen vascular diseases are the most common diseases causing diffuse lung diseases. HRCT and fibroptic bronchoscopy are very important in the diagnosis of diffuse lung diseases.