纤维支气管镜及胸腔镜检查在诊断胸内结节病中的价值

The value of bronchospopy or thoracoscopy in diagnosis of sarcoidosis

目的探讨纤维支气管镜及胸腔镜检查对胸内结节病诊断价值。方法回顾分析1998年1月~2013年7月首次住院确诊结节病病例33例,病例经行纤维支气管镜检查（包括TBB、TBLB）和胸腔镜检查确诊断为结节病,分析纤维支气管镜检查及胸腔镜检查的诊断价值。结果支气管镜检查阳性率为36.36%（P〈0.01）。胸腔镜检查阳性率为93.94%。结论胸腔镜检查较纤维支气管镜检查对结节病诊断有较高的临床实用价值。

【Objective】To evaluate the value of bronchospopy or thoracoscopy findings in the diagnosis of thoracic acidosis. 【Methods】A retrospective analysis was performed in 33 confirmed sarcoidosis patients from January of 1998 to July of 2013. The diagnosis was confirmed by biopsy through bronchofibroscope and thoracoscope examination.【Results】The diagnosis was confirmed in 93.94% patients of thoracoscope examination and 36.36% in the patients only taking bronchoscope investigation. 【Conclusion】The thoracoscope is clinically valuable for the diagnosis of sarcoidosis.