内科胸腔镜肺活检对弥漫性间质性肺疾病诊断价值及安全性分析
发布时间：2019-03-16 15:38
【摘要】：目的探讨内科胸腔镜肺活检对弥漫性间质性肺疾病患者的诊断价值及安全性。方法回顾性分析35例内科胸腔镜肺活检的弥漫性间质性肺疾病患者临床及病理诊断资料。结果 31例患者获病理确诊,确诊率88.6%(31/35),其中普通型间质性肺炎(UIP)10例,肺结核6例,肺泡细胞癌4例,非特异性间质性肺炎(NSIP)、隐源性机化性肺炎(COP)各3例,肺泡蛋白沉着症(PAP)2例,韦格纳肉芽肿病(WG)、急性间质性肺炎(AIP)和淋巴管肌瘤病(LAM)各1例。术后并发症3例(8.6%),其中肺部感染合并呼吸衰竭2例,特发性肺间质纤维化急性加重1例,导致死亡2例(5.7%)。结论内科胸腔镜肺活检是诊断弥漫性间质性肺疾病安全有效的方法。
[Abstract]:Objective to evaluate the diagnostic value and safety of thoracoscopic lung biopsy in patients with diffuse interstitial lung disease. Methods Clinical and pathological data of 35 patients with diffuse interstitial lung disease diagnosed by thoracoscopic lung biopsy were retrospectively analyzed. Results the pathological diagnosis was achieved in 31 cases (88.6%), including 10 cases of common interstitial pneumonia (UIP), 6 cases of pulmonary tuberculosis, 4 cases of alveolar cell carcinoma, and 4 cases of nonspecific interstitial pneumonia (NSIP),). There were 3 cases of cryptogenic organizing pneumonia (COP), 2 cases of alveolar proteinosis (PAP), 1 case of Wegener's granulomatosis (WG), 1 case of acute interstitial pneumonia (AIP) and 1 case of lymphangiomyomatosis (LAM). Postoperative complications were found in 3 cases (8.6%), including 2 cases of pulmonary infection complicated with respiratory failure, 1 case of acute exacerbation of idiopathic pulmonary interstitial fibrosis and 2 cases of death (5.7%). Conclusion thoracoscopic lung biopsy is a safe and effective method for the diagnosis of diffuse interstitial lung disease.
【作者单位】： 海南省人民医院呼吸内科;
【分类号】：R563.9
，
本文编号：2441654
[Abstract]:Objective to evaluate the diagnostic value and safety of thoracoscopic lung biopsy in patients with diffuse interstitial lung disease. Methods Clinical and pathological data of 35 patients with diffuse interstitial lung disease diagnosed by thoracoscopic lung biopsy were retrospectively analyzed. Results the pathological diagnosis was achieved in 31 cases (88.6%), including 10 cases of common interstitial pneumonia (UIP), 6 cases of pulmonary tuberculosis, 4 cases of alveolar cell carcinoma, and 4 cases of nonspecific interstitial pneumonia (NSIP),). There were 3 cases of cryptogenic organizing pneumonia (COP), 2 cases of alveolar proteinosis (PAP), 1 case of Wegener's granulomatosis (WG), 1 case of acute interstitial pneumonia (AIP) and 1 case of lymphangiomyomatosis (LAM). Postoperative complications were found in 3 cases (8.6%), including 2 cases of pulmonary infection complicated with respiratory failure, 1 case of acute exacerbation of idiopathic pulmonary interstitial fibrosis and 2 cases of death (5.7%). Conclusion thoracoscopic lung biopsy is a safe and effective method for the diagnosis of diffuse interstitial lung disease.
【作者单位】： 海南省人民医院呼吸内科;
【分类号】：R563.9
，
本文编号：2441654
本文链接：https://www.wllwen.com/yixuelunwen/huxijib/2441654.html
最近更新
教材专著
