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目的：了解结节病在纤维支气管镜下的肉眼所见及其在诊断上的可能价值。方法：回顾了３４ 例经病理证实的结节病患者纤维支气管镜的检查资料，总结支气管镜下的各种表现及其出现率，研究其与支气管粘膜活检和透支气管肺活检阳性率、病程和疾病分期的关系。结果：纤维支气管镜下所见正常４ 例（１１ ．８ ％ ） ，粘膜充血１７ 例（５０ ％ ） 、粘膜水肿６ 例（１７ ．６ ％ ） 、纵行皱襞９ 例（３１ ．０ ％ ） 、粘膜苍白７ 例（２０ ．６ ％ ） 、粘膜小结节５ 例（１７ ．２ ％ ） 、粘膜糜烂２ 例（６ ．９ ％ ） 、管腔狭窄９ 例（２６ ．５ ％ ） ，其中粘膜小结节的两种活检均为阳性，粘膜的改变与病程和分期均无明确关系。结论：结节病存在相当高比例的支气管镜下异常表现，这些改变的意义及对疾病的诊断价值有待进一步阐明，其中粘膜小结节对诊断可能更具有价值。粘膜正常者亦应随机钳取粘膜，有助于病理学的诊断。
Objective: To understand the naked eye of sarcoidosis under fiberoptic bronchoscopy and its possible value in the diagnosis. Methods: A retrospective review of 34 cases of pathologically confirmed sarcoidosis patients with bronchoscopy examination data, summarize the various manifestations of bronchoscopy and its incidence, and its bronchial mucosa biopsy and bronchial lung biopsy positive rate, duration and The relationship between the stages of disease. Results: Four cases (11.8%) were seen under fibrobronchoscopy, 17 cases (50%) were mucosal hyperemia, 6 cases (17.6%) were mucosal edema, 9 cases (31.0%) were longitudinal folds, Mucosal pale in 7 cases (20.6%), mucosal nodules in 5 cases (17.2%), mucosal erosion in 2 cases (6.9%), stenosis in 9 cases (26.5%), in which mucosal small Both biopsies of nodules were positive, mucosal changes and disease duration and stage are not clearly related. CONCLUSIONS: There is a high proportion of bronchoscopic abnormalities in sarcoidosis. The significance of these changes and the diagnostic value of the disease need to be further elucidated. Small nodules may be valuable for diagnosis. Normal mucosal mucosa should also take a random clamp, contribute to the diagnosis of pathology.