引用本文:刘 寅,蔡后荣.特发性肺纤维化的HRCT诊断新观点[J].中国临床新医学,2019,12(1):13-17.
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特发性肺纤维化的HRCT诊断新观点
刘 寅,蔡后荣
210009 江苏,南京大学医学院附属鼓楼医院呼吸内科
摘要:
[摘要] 特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)是一种慢性进行性纤维化性间质性肺炎,组织学和胸部高分辨率CT(high-resolution CT,HRCT)表现为普通型间质性肺炎(usual interstitial pneumonia,UIP)。Fleischner协会新发表了关于IPF的HRCT诊断标准,将原先2011年美国胸科学会(American Thoracic Society,ATS)、欧洲呼吸学会(European Respiratory Society,ERS)、日本呼吸学会(Japanese Respiratory Society,JRS)和拉丁美洲胸科学会(Latin American Thoracic Association,ALAT)制定的指南中可能UIP型更名为很可能UIP型,为临床医师提供了更为简洁的IPF临床诊断方式。
关键词:  特发性肺纤维化  高分辨率CT  诊断  Fleischner协会
DOI:10.3969/j.issn.1674-3806.2019.01.04
分类号:R 563.13
基金项目:国家自然科学基金面上项目(编号:81670058);江苏省科技厅重点研发项目(编号:BE2016611)
New insight in HRCT diagnosis of idiopathic pulmonary fibrosis
LIU Yin, CAI Hou-rong
Department of Respiratory Medicine, Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University, Jiangsu 210009, China
Abstract:
[Abstract] Idiopathic pulmonary fibrosis(IPF) is a chronic progressive fibrosing interstitial pneumonia. It is a distinct clinical entity associated with the histologic and high-resolution CT(HRCT) appearance of usual interstitial pneumonia(UIP). The Fleischner Society provides an updated approach to the HRCT diagnosis of IPF. The possible UIP pattern, according to the 2011 ATS/ERS/JRS/ALAT guidelines, has been upgraded to a probable UIP pattern, which will contribute to providing clinicans with a more simple and straightforward clinical diagnosis of IPF.
Key words:  Idiopathic pulmonary fibrosis  High-resolution CT  Diagnosis  The Fleischner Society