纤维支气管镜检查诊断胸内结节病的价值

目的 从不同角度探讨纤维支气管镜检查对胸内结节病诊断价值。方法 回顾分析1999年10月～2005年6月行纤维支气管镜检查的55例结节病患者的临床资料。结果 支气管镜下气道具有结节样病变组TBB阳性率为71．43％；而气道无结节样病变组TBB阳性率为21．74％（P=0．002）。支气管镜黏膜活检（TBB）联合经支气管肺活检（TBLB）阳性率为73．33％。灌洗液ACE浓度值大小与淋巴细胞百分比有明显相关性。结论 纤维支气管镜检查对结节病诊断、判断病变活动度有较高的临床实用价值。

Analysis of the bronchospopic diagnosis of sarcoidosis

Objective To evaluate the role of fiberotic bronchopsy findings in the diagnosis of thoracic sarcoidosis. Methods A retrospective analysis was performed in 55 sarcoidosis patients from October of 1999 to June of 2005. Results The airway with endobronchial military lesions was found in 71.43% patients,while airway without endobronchial military lesions was 21.74% (P =0.002). The diagnosis was comfirmed in 73.33% patients of combination transbronchial mucosa biopsy (TBB) and the transbronchial lung biopsy (TBLB) through fiberotic bronchospy. The level of angiotensin-converting enzyme (ACE) is greatly related with the percent of lympphocytes in broncho-alveolar lavage fluid (BALF). Conclusions The fiberotic bronchospy is clinically valuable for the diagnosis and the analysis activity of sarcoidosis.