Ohmichi M, Yamada G, Hiraga Y
Department of Respiratory Diseases, Sapporo Hospital of Hokkaido Railway Company.
Nihon Rinsho. 1994 Jun;52(6):1539-43.
The efficacy of transbronchial lung biopsy (TBLB) for the diagnosis of sarcoidosis was compared to that of scalene node biopsy (SNB). We performed both TBLB and SNB or in 336 consecutive patients with clinical features of sarcoidosis. In 270 out of 336 patients epithelioid cell granuloma was found. The frequency of granuloma in specimens obtained by TBLB was higher than that of SNB at any radiographic stage. In stage 0 and stage I diseases however, the frequency of epithelioid cell granuloma in the specimens was increased by examining both of TBLB and SNB. We concluded that SNB was useful in consecutive patients with sarcoidosis in whom the epithelioid cell granuloma could not be confirmed by TBLB.
将经支气管肺活检（TBLB）与斜角肌淋巴结活检（SNB）对结节病的诊断效能进行了比较。我们对336例具有结节病临床特征的连续患者同时进行了TBLB和SNB。336例患者中有270例发现上皮样细胞肉芽肿。在任何影像学阶段，TBLB获取标本中的肉芽肿发生率均高于SNB。然而，在0期和I期疾病中，通过同时检查TBLB和SNB，标本中上皮样细胞肉芽肿的发生率有所增加。我们得出结论，对于连续的结节病患者，若TBLB无法确诊上皮样细胞肉芽肿，SNB是有用的。
