【摘要】 目的 :对胸内结节病的诊断方法作一探讨。方法 :对 1989年 2月～ 1998年 5月经病理学诊断为结节病的 40例患者作一回顾性分析 ,对不同的诊断方法在胸内结节病的诊断价值进行评价。结果 :血清血管紧张素转换酶升高的占 6 6 7%。纤维支气管镜支气管粘膜活检和经纤维支气管镜肺活检病理诊断的阳性率分别为 81 8%和80 0 %。外周淋巴结活检的阳性率为 94 4% ,皮下结节和皮肤红斑活检阳性率为 85 7%。结论 :支气管粘膜活检、TBLB和外周淋巴结活检是简便易行、阳性率高、创伤性小的方法 ,对结节病的诊断有较高的实用价值更多还原

【Abstract】 Objective:To study the methods in the diagnosis of intrathoracic sarcoidosis.Method:40 cases of intrathoracic sarcoidosis confirmed by pathology during the period of Feb.1989～May 1998 are reviewed to determine the value in the diagnosis of sarcoidosis.Result:66.7% of the patients had high levels of serium angiotensin-converting enzyme.The diagnosis was confirmed in 81.8% of the bronchical mucosa biopsies and 80.8% of the transbranchial lung biopsies through fiberotic bronchospy,94.4% of the biopsies of periphery lymphnodes,85.7% of the skin biopsies and subskin nodes biopsies.Conclusion:To the diagnosis of intrathoracic sarcoidosis,BMB,TBLB and periphery lymphnodes biopsies are the convenient methods with highly diagnostic and less invasive values in clinical parctice.更多还原