胸内结节病16例分析

Clinical observation on 16 cases thoracic Sarcoidosis Ni Xiuwu,Xia Xirong,Shi Yi

目的：分析胸内结节病的一般规律。方法：①支气管镜检查；②ＴＢＢ与ＴＢＬＢ检查；③ＳＡＣＥ检测；④结核菌素试验。结果：支气管镜检查发现３例有小结节，ＴＢＬＢ检查４例阳性，ＴＢＢ检查２例阳性，ＳＡＣＥ检测（１２例）１１例高于正常，结核菌素试验１２例阴性，３例阳性。Ｘ线检查Ⅰ期６例，Ⅱａ期９例，Ⅱｂ期１例，均经病理学确诊。结论：ＳＡＣＥ水平可作为结节病激素治疗后病情变化的监测指标。

Objectives:To analyse general features of thoracic sarcoidosis. Methods:①Bronchoscopy examination;②TBB and TBLB;③SACE;④PPD. Results:The nodules on the bronchial membrane were found in 3 cases by bronchoscopy,TBLB was positive in 4 cases,TBB was positive in 2 cases,SACE values(12 cases) were abnormal in 11 cases.PPD test was positive in 12 cases,3 cases negative.Ⅰ stage 6 cases,Ⅱa stage 9 cases and Ⅱb stage 1 case by X ray examination.The diagnosis was established by the pathology in all patients. Conclusions:SACE Value may be monitoring indication of disease changes in sarcoidosis corticosteroid therapy.