【摘要】：目的探討內(nèi)科胸腔鏡肺活檢對彌漫性間質(zhì)性肺疾病患者的診斷價值及安全性。方法回顧性分析35例內(nèi)科胸腔鏡肺活檢的彌漫性間質(zhì)性肺疾病患者臨床及病理診斷資料。結(jié)果 31例患者獲病理確診,確診率88.6%(31/35),其中普通型間質(zhì)性肺炎(UIP)10例,肺結(jié)核6例,肺泡細(xì)胞癌4例,非特異性間質(zhì)性肺炎(NSIP)、隱源性機(jī)化性肺炎(COP)各3例,肺泡蛋白沉著癥(PAP)2例,韋格納肉芽腫病(WG)、急性間質(zhì)性肺炎(AIP)和淋巴管肌瘤病(LAM)各1例。術(shù)后并發(fā)癥3例(8.6%),其中肺部感染合并呼吸衰竭2例,特發(fā)性肺間質(zhì)纖維化急性加重1例,導(dǎo)致死亡2例(5.7%)。結(jié)論內(nèi)科胸腔鏡肺活檢是診斷彌漫性間質(zhì)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.
【作者單位】： 海南省人民醫(yī)院呼吸內(nèi)科;
【分類號】：R563.9
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本文編號：2441654