摘要
目的从不同角度探讨纤维支气管镜检查对胸内结节病诊断价值。方法回顾分析1999年10月～2005年6月行纤维支气管镜检查的55例结节病患者的临床资料。结果支气管镜下气道具有结节样病变组TBB阳性率为71.43%;而气道无结节样病变组TBB阳性率为21.74%(P=0.002)。支气管镜黏膜活检(TBB)联合经支气管肺活检(TBLB)阳性率为73.33%。灌洗液ACE浓度值大小与淋巴细胞百分比有明显相关性。结论纤维支气管镜检查对结节病诊断、判断病变活动度有较高的临床实用价值。
[Objective ] To evaluate the role of fiberotic bronchopsy findings in the diagnosis of thoracic sarcoidosis. [Methods] A retrospective analysis was performed in 55 sarcoidosis patients from October of 1999 to June of 2005, [Results] The airway with endobronchial military lesions was found in 71.43% patients, while airway without endobronchial military lesions was 21.74% （P =0.002）. The diagnosis was comfirmed in 73.33% patients of combination transbronchial mucosa biopsy （TBB） and the transbronchial lung biopsy （TBLB） through fiberotic bronchos- py. The level of angiotensin-converting enzyme （ACE） is greatly related with the percent of lympphocytes in broncho-alveolar lavage fluid （BALF）. [Conclusions] The fiberotic bronchospy is clinically valuable for the diagnosis and the analysis activity of sarcoidosis.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第5期528-530,共3页
China Journal of Endoscopy
关键词
结节病
诊断
支气管镜
肺泡灌洗
sarcoidosis
diagnosis
fiberotic bronchospy
bronchoalveolar lavage
