结节病39例误诊分析

Analysis of the reason for misdiagnosis of sarcoidosis.

目的探讨结节病患者误诊常见原因,以提高结节病的诊断率,减少误诊。方法回顾性分析1998年10月至2006年9月于中国医科大学附属第一医院经病理证实为结节病的98例患者中39例误诊病例的临床表现及误诊原因。结果结节病起病隐匿,临床表现缺乏特异性以及对该病的认识不足是误诊的主要原因,肺结核、肺癌、淋巴瘤是结节病主要误诊疾病。结论掌握结节病的临床特点、影像学表现,并与实验室检查结合分析是减少误诊的主要措施。

Objective To explore the common reason for misdiagnosis of sarcoidosis to increase the diagnosis rate of sarcoidosis and reduce misdiagnosis rate. Methods Analyze clinical manifestation and misdiagnosis reason retrospectively of 98 patients confirmed sarcoidosis according to pathological proof, in which 39 patients are misdiagnosed. Results The major reasons for misdiagnosis were delitescent sarcoidosis progress, clinical manifestation lacking specificity and lack of research. The most common diseases misdiagnosed were pulmonary tuberculosis, lung cancer and lymphoma. Conclusion The major methods to reduce misdiagnosis are to know well about clinical characteristics, imageology manifestation and laboratory exam about sarcoidosis.