摘要
目的:细支气管肺泡癌的X线表现多种多样,易误诊,为提高认识,探讨其X线特点。方法:收集我院90年以来经病理和手术证实21例,两次以上平片16例,体层8例,CT15例。结果:首次胸片误诊8例(38.09％),1～2月内复查或CT后纠正诊断4例(19.04％),根据影像表现分为四型:1,粟粒型;2,多发结节型;3,单发结节型和肺炎型。结论:各型X线表现有其特点,全面分析,及时复查,可提高诊断正确率。
Objective : To study the x - ray Characteristics of alveolar cell carcinoma and improve the diagnostic accuracy.Methods:we collected 21casesof alveolar cell carcinoma ( acc), 16 cases of twice- chest- X- ray, 8 cases of tomography and 15 cases of CT. Results: We got 8 cases of misdiagnosed by once - chest - X - ray(38. 09% ), 4 cases of correcting diagnostic by re - examination in 1 - 2 months or CT (19.04% ). On the basis of imagery presentation, we divided ace into 4 types: 1, miliary ; 2, multinodule ; 3, solitarynodule and pneumonia -like. Conclusion: Each type has its X - ray casracteristics. The diagnostic accuracy can be improved by full analysis and fullow- up films.
