摘要
目的探讨开胸肺活检对肺间质疾病的诊断作用。方法对１９９３～１９９８年６月２４例开胸肺活检的肺间质疾病患者进行回顾性分析。结果２４例患者均获病理确诊，其中普通型间质性肺炎（ＵＩＰ）７例，闭塞性细支气管炎伴机化性肺炎（ＢＯＯＰ）３例，结节病３例，弥漫性泛细支气管炎（ＤＰＢ）２例，肺结核２例。其他急性间质性肺炎（ＡＩＰ）、呼吸性细支气管炎伴肺间质病（ＲＢＩＬＤ）、肺组织细胞增生症Ｘ、炎性结节、多发性肺脓肿、肺组织炎症和肺泡细胞癌各１例。结论开胸肺活检作为一种诊断方法，能获得足够的肺组织，具有很高的敏感性和特异性，能明确病变的部位和程度。对常规和纤维支气管镜未能确诊的病例，尤其是一些罕见病和不典型的病例，具有较大的价值。
Objective To evaluate the role of open lung biopsy in diagnosis of interstitial lung disease. Methods 24 patients with interstitial lung disease who underwent open lung biopy from 1993 to June 1998 were reviewed. Results The documented pathologic diagnosis in 24 patients with interstitial lung disease who underwent open lung biopsies were: 7 IPF ( UIP), 1 acute interstitial pneumonia (AIP),3 BOOP, 2 DPB, 3 sarcoidosis, 2 tuberculosis, 1 histiocytosis X and 1 lung cancer. Most of these patients did not difinitely diagnosed through their clinical evaluation including history, chest X ray ,pulmonary function tests and TBLB. Conclusions Open lung biopsy, is a useful method,as it is sensitive and specific in diagnosis of interstitial lung disease. It is helpful in defining the site and extent of interstitial lung disease and diagnosing rare and atypical interstitial lung disease.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1999年第1期40-42,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
基金
中国卫生部留学回国人员启动资金
