PT -期刊文章盟Fukihara 6月盟,Kondoh Yasuhiro AU -布朗,凯文·k . AU -木村,名叫Tomoki AU - Kataoka Kensuke盟——松田Toshiaki盟——Yamano Yasuhiko盟——铃木Atsushi AU -古河道,Taiki盟——Sumikawa Osamu盟——Johkoh AU -高桥弘满武盟,田中Tomonori盟——福冈,非盟-桥本淳弥,胸部CT上可能常见的间质性肺炎模式:它是否足以诊断特发性肺纤维化?援助- 10.1183/13993003.02465 -2018 DP - 2020年4月01 TA -欧洲呼吸杂志》第六PG - 1802465 - 55 IP - 4 4099 - //www.qdcxjkg.com/content/55/4/1802465.short 4100 - //www.qdcxjkg.com/content/55/4/1802465.full所以欧元和J2020 4月01;55ab -最近的研究表明，对于特发性间质性肺炎(IIP)患者，胸部计算机断层扫描(CT)的常见间质性肺炎(UIP)模式足以诊断特发性肺纤维化(IPF)，无需组织病理学检查。我们回顾性比较了IIP合并UIP的患者的预后和首次急性加重(AE)的时间，以及初始胸部CT上可能的UIP模式。160例IIP患者合并UIP型和242例可能合并UIP型。UIP可能模式与较长的生存时间独立相关(调整后的风险比0.713,95% CI 0.536-0.950;p=0.021)和发生首次AE的时间(校正后的危险比0.580,95% CI 0.389-0.866;p = 0.008)。在接受手术肺活检的可能有UIP模式的受试者中，组织病理学UIP模式的概率为83%。在多学科讨论和纳入纵向行为后，66%的病例诊断为IPF。在IPF患者中，生存时间和发生首次AE的时间与CT类型无关。 Among subjects with a probable UIP pattern, compared to non-IPF patients, survival time and time to first AE were shorter in IPF patients.In conclusion, IIP patients with a probable UIP pattern on initial chest CT had a better prognosis and longer time to first AE than those with a UIP pattern. However, when baseline data and longitudinal behaviour provided a final diagnosis of IPF, CT pattern was not associated with these outcomes. This suggests diagnostic heterogeneity among patients with a probable UIP pattern.Except when the final diagnosis is IPF, idiopathic interstitial pneumonia (IIP) patients with a probable usual interstitial pneumonia (UIP) pattern on chest CT have a longer survival time and time to first acute exacerbation than those with a UIP pattern http://bit.ly/2FOJa2F