Pannier R
Z Erkr Atmungsorgane. 1986;166(3):235-46.
The value of bronchoalveolar lavage (BAL) and Gallium-67-scintigraphy in the diagnosis of sarcoidosis is discussed. Both methods complete themselves and do not compete. Both are good indices for the activity of the disease and for corticoid treatment surveillance. There is not a direct correlation of SACE and Ga-67-scan in active disease. Ga-67-scan is the method preferred to establish the spread of granulomas. This radiological method allows the detection of invisible dissemination in the lungs and other organs. BAL allows a cell differentiation. With this method it is possible to survey the course of the disease and give further informations of the pathogenesis of sarcoidosis.
讨论了支气管肺泡灌洗(BAL)和镓-67闪烁扫描在结节病诊断中的价值。这两种方法相互补充,而非相互竞争。两者都是疾病活动度和皮质类固醇治疗监测的良好指标。在活动性疾病中,血清血管紧张素转换酶(SACE)与镓-67扫描无直接相关性。镓-67扫描是用于确定肉芽肿扩散情况的首选方法。这种放射学方法能够检测出肺部和其他器官中隐匿的扩散情况。BAL可实现细胞分化。通过该方法能够监测疾病进程,并提供有关结节病发病机制的更多信息。