發(fā)布時間：2018-04-11 09:38

  本文選題：病理組織檢查 + 肺部疾病　； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討肺組織病理檢查在兒童肺部疾病診斷中的臨床價值分析。方法:選取2011年10月至2015年6月經(jīng)外科手術(shù)后行肺組織病理檢查的118例有肺部疾病患兒為研究對象,回顧性分析其臨床特點、影像學(xué)表現(xiàn)、手術(shù)方式、術(shù)中所見、術(shù)前診斷、病理組織檢查及出院診斷,評估肺組織病理檢查在兒童肺部疾病診斷、鑒別診斷中的臨床意義并分析術(shù)前未確診原因。結(jié)果:(1)入組的118例,男79例(66.9%),女39例(33.1%),手術(shù)年齡3天~15歲3月,手術(shù)中位數(shù)年齡61月。(2)118例術(shù)后均獲得病理組織,通過病理檢查115例明確診斷。另外3例僅描述鏡下炎癥細胞浸潤或纖維組織增生玻變、紅細胞滲出,未做出明確診斷。肺部疾病以先天性肺囊性疾病最常見,見于87例患兒,其次為支氣管擴張,見于19例患兒,再為腫瘤5例、肺不張3例、肺結(jié)核1例、特發(fā)性肺含鐵血黃素沉著癥及支氣管肺前腸畸形各1例。(3)術(shù)前診斷與出院診斷符合73例(61.9%),術(shù)后病理診斷與出院診斷符合115(97.5%)。結(jié)論:病理組織檢查對小兒肺部疾病診斷符合率高,對于長期反復(fù)診斷不清的肺部疾病,經(jīng)臨床醫(yī)生評估后,可選擇性運用臨床。
[Abstract]:Objective: to investigate the clinical value of lung histopathology in the diagnosis of pulmonary diseases in children.Methods: from October 2011 to June 2015, 118 cases of children with pulmonary diseases underwent pathological examination of lung tissue from October 2011 to June 2015. The clinical features, imaging manifestations, operative methods, intraoperative findings and preoperative diagnosis were retrospectively analyzed.Histopathological examination and discharge diagnosis were performed to evaluate the clinical significance of lung histopathological examination in the diagnosis of pulmonary diseases in children and to analyze the causes of undiagnosed diseases before operation.Results among the 118 cases, 79 cases were male and 39 cases were 33. 1%. The operative age was 3 days to 15 months, and the median age of operation was 61 months. All the 118 cases got pathological tissue after operation, and 115 cases were diagnosed by pathological examination.The other 3 cases only described the infiltration of inflammatory cells or fibrous tissue hyperplasia, red blood cell exudation under the microscope, and no definite diagnosis was made.The most common pulmonary diseases were congenital cystic pulmonary diseases, which were seen in 87 cases, followed by bronchiectasis, 19 cases, tumor 5 cases, atelectasis 3 cases, pulmonary tuberculosis 1 case.Idiopathic pulmonary hemosiderosis (n = 1) and bronchopulmonary foregut malformation (n = 1, respectively.) the preoperative diagnosis and discharge diagnosis were in accordance with 73 cases (61.9%), and the postoperative pathological diagnosis and discharge diagnosis were in line with 115% 97. 5%.Conclusion: histopathological examination has a high diagnostic coincidence rate for pulmonary diseases in children, and can be selectively used in the diagnosis of lung diseases which have been repeatedly diagnosed for a long time after assessment by clinicians.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R725.6

【參考文獻】

相關(guān)期刊論文 前10條

1 吳海華;;16排CT在肺隔離癥診斷與術(shù)前評估中的應(yīng)用效果探討[J];中外醫(yī)療;2016年22期

2 蔣彬;孫天宇;張靈敏;鄧波;郭偉;王如文;譚群友;;成人肺隔離癥的診斷與外科治療[J];局解手術(shù)學(xué)雜志;2016年08期

3 趙秀花;謝紅寧;彭軟;林美芳;吳利紅;杜柳;;胎兒肺隔離癥靜脈回流方式對預(yù)后影響的研究[J];中華超聲影像學(xué)雜志;2016年02期

4 李志;朱銘;董素貞;羅志琴;費正華;方向明;戚凌紅;;產(chǎn)前MRI檢查在診斷及鑒別診斷胎兒先天性支氣管肺隔離癥中的臨床應(yīng)用價值[J];中華婦產(chǎn)科雜志;2016年01期

5 牛會林;王鳳華;劉威;王勇;陳崢嶸;高秋;伊鵬;李麗萍;曾榮新;;兒童肺部病變215例臨床病理學(xué)分析[J];中華病理學(xué)雜志;2015年09期

6 石余先;汪誠;施一峰;馮起甲;;肺隔離癥3例診治并文獻復(fù)習(xí)[J];臨床肺科雜志;2015年05期

7 胡金苗;李莉;吳琦;;肺隔離癥的臨床特征、診斷及治療分析[J];實用心腦肺血管病雜志;2015年02期

8 盧根;;小兒先天性肺隔離癥的診治策略[J];中華實用兒科臨床雜志;2014年16期

9 劉鋒;關(guān)鍵;劉樹學(xué);李水連;劉明娟;;胎兒肺隔離癥的MRI診斷[J];放射學(xué)實踐;2014年05期

10 陳紹森;胡佩村;陳友榮;曾惠良;梁兆煜;江浩;;肺隔離癥合并癌變一例[J];中華結(jié)核和呼吸雜志;2014年05期

，

本文編號：1735438