《结核病流行背景下胸内结节病与结核病临床鉴别与处置专家共识》解读

Interpretation of Expert consensus on clinical differential diagnosis and treatment of intrathoracic sarcoidosis and pulmonary tuberculosis under the background of tuberculosis epidemic

胸内结节病与结核病在临床特征、病理学表现、影像学征象上存在一定的相似性,尤其是在结核病高流行区域,建立规范的鉴别诊断流程以避免误诊误治,显得尤为重要。因此,中国防痨协会多学科诊疗分会、《中国防痨杂志》编辑委员会和中华医学会放射学分会临床多学科合作工作组联合组织全国结核病科、呼吸科、病理科、影像科及关联学科专家,编制了《结核病流行背景下胸内结节病与结核病临床鉴别与处置专家共识》。笔者作为本共识编制的参与者,就两病鉴别诊断的难点和推荐意见进行解读,以供广大临床工作者参考与借鉴。

Intrathoracic sarcoidosis and tuberculosis are similar in clinical characteristics,pathological manifestations and imaging signs.It is particularly important to establish a standardized differential diagnosis process to avoid misdiagnosis and mistreatment,especially in tuberculosis endemic areas.Therefore,the Multidisciplinary Diagnosis and Treatment Committee of the Chinese Antituberculosis Association,Editorial Board of Chinese Journal of Antituberculosis and Clinical Multidisciplinary Cooperation Working Group of the Radiology Branch of the Chinese Medical Association organized multidisciplinary experts from the national tuberculosis department,respiratory department,pathology department,imaging department and related disciplines to develop an Expert consensus on clinical differential diagnosis and treatment of intrathoracic sarcoidosis and pulmonary tuberculosis under the background of tuberculosis epidemic.As a participant in the consensus compilation,the author interprets the difficulties and recommendations in the differential diagnosis of the two diseases for clinical reference.