从特发性间质性肺炎分型演变看临床认识更新

Changes in clinical knowledge updates from the evolution of idiopathic interstitial pneumonia classification

特发性间质性肺炎是指一组原因不明的间质性肺疾病,对于其分类的认识经历了一个逐渐演变的过程,除了新的临床病理类型不断发现外,分类方法从单纯病理分类向临床分类过渡,诊断方法从单纯依靠病理学诊断逐步转向临床-病理-影像多学科诊断,这一演变过程反映了人们对特发性间质性肺炎的认识在不断深入。

Idiopathic interstitial pneumonias （IIPs） are a group of interstitial lung disease with unknown causes and its classi- fication experienced a gradually evolving process. In addition to describing new clinical histologic entities, the methods of classification move from the simply pathological patterns to the clinical algorithm based on observed disease behavior, the di- agnostic criteria gradually switch from purely pathological diagnosis to the clinical, pathological and radiologic multidiscipli- nary discussion. This evolution reflects our deepening understanding of idiopathic interstitial pneumonias.