Retrospective Analysis Of Clinical And Pathological Features Of 118 Children With Pulmonary Diseases

Objective: To investigate the clinical value of pathological examination of lung tissue in the diagnosis of lung disease in children.Method: 118 cases of lung disease in children from October 2011 to June 2015 with pathological examination of lung tissue after surgical were selected as the research object.The clinical features,imaging findings,surgical methods,intraoperative findings,preoperative diagnosis,pathological examination and discharge diagnosis were retrospectively reviewed to evaluate the clinical significance of pathological examination in the diagnosis and differential diagnosis of lung diseases in children and analyze the causes of misdiagnosis.Results:(1)A total of 118 patients were enrolled in this study.There were 79 male patients(n = 66.9%)and 39 female patients(n = 33.1%).The operation age was from 3 days to 15 years old in March,and the median age of operation was about 61 months.(2)all the pathological tissues were obtained in all of the 118 cases,which were diagnosed by pathological examination in 115 cases(97.5%).In the other 3 cases,inflammatory cell infiltration,fibrous tissue hyperplasia and red blood cell infiltration were only described under the microscope.The most common lung disease with congenital cystic lung disease in 87 cases,secondly,bronchiectasis in 19 cases,to 5 cases of tumor,3 cases of pulmonary atelectasis,pulmonary tuberculosis,1 cases of idiopathic pulmonary hemosiderosis and bronchopulmonary foregut malformation in 1 cases.(3)Preoperative diagnosis and discharge diagnosis in 73 cases(61.9%),postoperative pathological diagnosis and discharge diagnosis in 115(97.5%),the diagnosis rate was significantly improved.Conclusion: Pathological examination of lung disease in children with high rate of diagnosis,for a long time and repeated diagnosis of lung disease,after the clinician assessment,can be selectively used in clinical.