TY - T1的预测价值平衡细胞差异在间质性肺疾病的诊断JF -欧洲呼吸杂志》乔欧元和J SP - 1000 LP - 1006 - 10.1183 / 09031936.04.00101303六世- 24 - 6非盟- l·威尔克盟R.A. Jorres AU -美国Costabel盟h . Magnussen Y1 - 2004/12/01 UR - //www.qdcxjkg.com/content/24/6/1000.abstract N2 -当前作者旨在量化的可能性如何变化的知识对于一个给定的诊断支气管肺泡灌洗(BAL)细胞的差异。作为一个初步估计(先验概率),频率的最终诊断。使用分类细胞差异,后验概率被导出为每个疾病,根据贝叶斯。五组的分析在三个诊断怀疑之前落下帷幕:间质性肺病(ILD);n = 710),炎症性疾病(n = 583),或肺部肿瘤模仿ILD (n = 455)。总体而言,1971名患者中,18.3%有结节病,通常7.7%的间质性肺炎(摘要),外在过敏性肺泡炎4.4% (EAA),和19.0%的肿瘤。与疑似ILD组中,结节病的可能性已经从68.1%上升到33.7,淋巴细胞数量和粒细胞数低30 - 50%;摘要本文从15.8增加到33.3%的可能性在淋巴细胞数量& lt;与粒细胞升高30%。CD4 / CD8是有益的,特别是在结节病和监管。尽管有相当大的增加,罕见疾病的可能性很少达到相当可观的价值。 Similar results were obtained in the other two groups of suspected diagnoses. In conclusion, these data suggest that bronchoalveolar lavage cell counts per se provide substantial diagnostic information only in relatively frequent diseases, such as sarcoidosis and usual interstitial pneumonia, and are less helpful in infrequent diseases. This study was supported by Landesversicherungsanstalt (LVA), Freie und Hansestadt Hamburg, Germany. ER -