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目的研究纤维支气管镜对肺结节病的诊断价值,提高临床诊断符合率。方法对22例肺结节病的临床资料进行回顾性调查分析。结果有病理学依据的22例肺结节病。男7例,女15例;年龄14￣66岁,症状除了呼吸道症状外,还有多系统损害表现,胸部X线片及CT提示双侧肺门肿大21例,单侧肺门肿大1例,纵隔淋巴结肿大16例,经皮肤黏膜淋巴结活检确诊8例,纤维支气管镜活检确诊14例。其中纤维支气管镜阳性率为77.8(14/18),结节病分类Ⅰ期16例,Ⅱ期6例。结论提示纤维支气管镜检查有助于肺结节病病理诊断并治疗。
Objective To study the diagnostic value of bronchoscopy for pulmonary sarcoidosis and to improve the coincidence rate of clinical diagnosis. Methods The clinical data of 22 cases of pulmonary sarcoidosis were retrospectively analyzed. The result was pathologically based on 22 cases of pulmonary sarcoidosis. 7 males and 15 females; aged 14 to 66 years old, the symptoms in addition to respiratory symptoms, there are more systematic damage performance, chest X-ray and CT tips bilateral hilar enlargement in 21 cases, unilateral hilar enlargement 1 Cases, mediastinal lymph node enlargement in 16 cases, 8 cases confirmed by transdermal mucosal lymph node biopsy, fibroscope biopsy confirmed 14 cases. The positive rate of fibrobronchoscopy was 77.8 (14/18), sarcoidosis was classified as stage Ⅰ in 16 cases and stage Ⅱ in 6 cases. Conclusions Fiberoptic bronchoscopy is helpful for pathological diagnosis and treatment of pulmonary sarcoidosis.