现代儿科呼吸介入技术在间质性肺疾病中的应用进展  

Application progress of modern pediatric respiratory intervention techniques in interstitial lung disease

作　　者：陈德晖[1] CHEN De-hui(Department of Pediatrics,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院儿科,广东广州510120

出　　处：《中国实用儿科杂志》2020年第10期772-776,共5页Chinese Journal of Practical Pediatrics

摘　　要：肺间质疾病(ILD)是一组病因广泛的异质性疾病,临床病因诊断遵从于临床-影像-病理诊断程序。儿科呼吸内镜介入对部分ILD的病因亚类有直接诊断价值,经取肺组织病理结果对弥漫肺泡出血症、肺泡蛋白沉积症有较高的诊断意义;在儿童ILD诊治的优势在于微创,恢复快,并发症少,即使不能直接明确间质性肺疾病亚类,也可以排除特殊感染,缩小诊断范围,为后续基因检测提供一定临床信息,应有较高的临床应用价值。The interstitial lung diseases(ILD)are a group of heterogeneous diseases with various causes,also with the more etiological subtypes.The etiological diagnosis follows the procedure of clinic-radiology-pathology.The pediatric respiratory endoscopy via the interventional techniques has the direct diagnostic value for some etiological subtypes of ILD.The pathological results of the lung tissue by TBLB,TBCB or TBNA has greater diagnostic significance in DAH,PAP.The interventional bronchoscopy has the advantages of minimal invasion,quick recovery and fewer complications.Although the interventional bronchoscopy can’t directly distinguish the etiological subtype of ILD,it can eliminate special infection,and reduced the clinical diagnostic scope,which provides some clinical message for the future gene defection,having greater value of clinical application.

关 键 词：肺间质疾病 呼吸内镜 介入技术 儿童 

分 类 号：R72[医药卫生—儿科]