胸内结节病40例临床分析  

CLINICAL ANALYSIS OF 40 CASES OF INTRATHORACIC SARCOIDOSIS

作　　者：忻宇 薄维娜 

机构地区：上海市胸科医院,上海200030

出　　处：《医师进修杂志》2000年第7期14-15,20,共3页Journal of Postgraduates of Medicine

摘　　要：目的：对胸内结节病的诊断方法作一探讨。方法：对１９８９年２月～１９９８年５月经病理学诊断为地节病的４０例患者作一回顾性分析，对不同的诊断方法作胸内结节病的诊断价值进行评价。结果：血清血管紧张素转换酶同年中６６．７％，纤维支气管镜支气管粘膜活检和经纤维支气管镜肺活检病理诊断的阳性率分别为８１．８％和８０．０％。外周淋巴结活检的阳性率为９４．４％，皮下结节和皮肤红斑活检阳性率为８５．７％。Objective:To study the methods in the diagnosis of intrathoracic sarcoidosis.Method:40 cases of intrathoracic sarcoidosis confirmed by pathology during the period of Feb.1989～May 1998 are reviewed to determine the value in the diagnosis of sarcoidosis.Result:66.7% of the patients had high levels of serium angiotensin-converting enzyme.The diagnosis was confirmed in 81.8% of the bronchical mucosa biopsies and 80.8% of the transbranchial lung biopsies through fiberotic bronchospy,94.4% of the biopsies of periphery lymphnodes,85.7% of the skin biopsies and subskin nodes biopsies.Conclusion:To the diagnosis of intrathoracic sarcoidosis,BMB,TBLB and periphery lymphnodes biopsies are the convenient methods with highly diagnostic and less invasive values in clinical parctice.

关 键 词：胸内结节病 活检 诊断 临床分析 

分 类 号：R561.04[医药卫生—呼吸系统]