本文選題：病理組織檢查 + 肺部疾病��； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討肺組織病理檢查在兒童肺部疾病診斷中的臨床價(jià)值分析。方法:選取2011年10月至2015年6月經(jīng)外科手術(shù)后行肺組織病理檢查的118例有肺部疾病患兒為研究對(duì)象,回顧性分析其臨床特點(diǎn)、影像學(xué)表現(xiàn)、手術(shù)方式、術(shù)中所見(jiàn)、術(shù)前診斷、病理組織檢查及出院診斷,評(píng)估肺組織病理檢查在兒童肺部疾病診斷、鑒別診斷中的臨床意義并分析術(shù)前未確診原因。結(jié)果:(1)入組的118例,男79例(66.9%),女39例(33.1%),手術(shù)年齡3天~15歲3月,手術(shù)中位數(shù)年齡61月。(2)118例術(shù)后均獲得病理組織,通過(guò)病理檢查115例明確診斷。另外3例僅描述鏡下炎癥細(xì)胞浸潤(rùn)或纖維組織增生玻變、紅細(xì)胞滲出,未做出明確診斷。肺部疾病以先天性肺囊性疾病最常見(jiàn),見(jiàn)于87例患兒,其次為支氣管擴(kuò)張,見(jiàn)于19例患兒,再為腫瘤5例、肺不張3例、肺結(jié)核1例、特發(fā)性肺含鐵血黃素沉著癥及支氣管肺前腸畸形各1例。(3)術(shù)前診斷與出院診斷符合73例(61.9%),術(shù)后病理診斷與出院診斷符合115(97.5%)。結(jié)論:病理組織檢查對(duì)小兒肺部疾病診斷符合率高,對(duì)于長(zhǎng)期反復(fù)診斷不清的肺部疾病,經(jīng)臨床醫(yī)生評(píng)估后,可選擇性運(yùn)用臨床。
[Abstract]:Objective: to investigate the clinical value of lung histopathology in the diagnosis of pulmonary diseases in children.Methods: from October 2011 to June 2015, 118 cases of children with pulmonary diseases underwent pathological examination of lung tissue from October 2011 to June 2015. The clinical features, imaging manifestations, operative methods, intraoperative findings and preoperative diagnosis were retrospectively analyzed.Histopathological examination and discharge diagnosis were performed to evaluate the clinical significance of lung histopathological examination in the diagnosis of pulmonary diseases in children and to analyze the causes of undiagnosed diseases before operation.Results among the 118 cases, 79 cases were male and 39 cases were 33. 1%. The operative age was 3 days to 15 months, and the median age of operation was 61 months. All the 118 cases got pathological tissue after operation, and 115 cases were diagnosed by pathological examination.The other 3 cases only described the infiltration of inflammatory cells or fibrous tissue hyperplasia, red blood cell exudation under the microscope, and no definite diagnosis was made.The most common pulmonary diseases were congenital cystic pulmonary diseases, which were seen in 87 cases, followed by bronchiectasis, 19 cases, tumor 5 cases, atelectasis 3 cases, pulmonary tuberculosis 1 case.Idiopathic pulmonary hemosiderosis (n = 1) and bronchopulmonary foregut malformation (n = 1, respectively.) the preoperative diagnosis and discharge diagnosis were in accordance with 73 cases (61.9%), and the postoperative pathological diagnosis and discharge diagnosis were in line with 115% 97. 5%.Conclusion: histopathological examination has a high diagnostic coincidence rate for pulmonary diseases in children, and can be selectively used in the diagnosis of lung diseases which have been repeatedly diagnosed for a long time after assessment by clinicians.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R725.6

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