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[经支气管活检在结节病及某些其他间质性肺疾病诊断中的应用]

[Transbronchial biopsy in the diagnosis of sarcoidosis and certain other interstitial lung diseases].

作者信息

Strukov A I, Paukov V S, Orekhov O O, Ovchinnikov A A, Chernysheva V M

出版信息

Arkh Patol. 1986;48(12):13-22.

PMID:3566542
Abstract

Results of transbronchial pulmonary biopsy studies of patients of different sex and age suffering from interstitial pulmonary lesion are presented. Different diagnostic value of transbronchial pulmonary biopsy (TBBP) is shown in relation to different lesions. In case of sarcoidosis its informative value, for example, is high, while in the diffuse processes such as cryptogenic fibrosing alveolitis, the data allow only suggestive diagnosis and recommendation of an open lung biopsy. In chronic nonspecific pulmonary diseases TBBP helps to clarify the character and the activity of the process involved. In some cases it is possible to reveal a latent cancer. It is suggested to use the term "allergic alveolitis" (indicating the mechanism of development of changes mentioned) when such changes as alveolitis, small granulemas and intraalveolar outgrowths are found in the biopsy specimens.

摘要

本文展示了对患有间质性肺病变的不同性别和年龄患者进行经支气管肺活检研究的结果。经支气管肺活检(TBBP)针对不同病变显示出不同的诊断价值。例如,在结节病中其信息价值较高,而在弥漫性病变如隐源性纤维性肺泡炎中,所得数据仅能提示诊断并建议进行开胸肺活检。在慢性非特异性肺部疾病中,TBBP有助于明确所涉病程的特征和活动情况。在某些情况下,有可能发现潜在癌症。当在活检标本中发现肺泡炎、小肉芽肿和肺泡内赘生物等变化时,建议使用“过敏性肺泡炎”这一术语(表明上述变化的发生机制)。

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