Dürschmied H, Stanulla H, Berka B, Grollmuss H, Wiesner B, Löffler I, Kirsch M, Leonhardt P, Ballin A, Gosse H, Fischer J F, Eule H, Müller U, Menne W
Z Erkr Atmungsorgane. 1977 Jul;149(1):80-3.
A nearly nation-wide team-work of six chest hospitals was made with 4284 patients to analyse all performed diagnostic procedures up to the present. Its frequency and diagnostic importance in relation to the radiographic stages of the disease were examined. Especially the procedure of bronchologic examination, having been partly underrated with the morphological ascertainment of sarcoidosis, are now purposefully analysed. This showed that also with perbronchic punction-biopsy and bronchoscopic excision morphologically confirming of the diagnosis was possible at a high percentage. On the other side the right diagnosis was made clinically before bioptic procedures in the majority of the patients. The overall conclusion is that, according to the experiences made in our hospitals, the relatively harmless bronchologic procedures are in general sufficient to obtain bioptic verfication of the diagnosis "sarcoidosis". Other bioptic operations like mediastinoscopy or lung biopsy can be restricted to cases with reasonable doube of the diagnosis.
由六家胸科医院组成的几乎覆盖全国的团队对4284例患者进行了合作,分析了截至目前所进行的所有诊断程序。研究了其频率以及与疾病放射学分期相关的诊断重要性。特别是支气管检查程序,在结节病的形态学诊断中曾被部分低估,现在对其进行了有针对性的分析。结果表明,通过支气管周围穿刺活检和支气管镜切除,在很大比例的情况下也能够从形态学上确诊。另一方面,大多数患者在活检程序之前通过临床检查就能做出正确诊断。总体结论是,根据我们医院的经验,相对无害的支气管检查程序通常足以获得“结节病”诊断的活检验证。其他活检手术,如纵隔镜检查或肺活检,可仅限于对诊断存在合理疑问的病例。