摘要
目的探讨肺隐球菌病误诊的原因及正确的诊断方法。方法收集1998～2009年误诊的53例肺隐球菌病,就X线及CT检查的结果进行分析。结果 53例肺隐球菌病,误诊为肺炎、肺部感染31例;误诊为肺结核15例;误诊为肺癌7例。在抗炎、抗结核及抗癌治疗效果不明显,病变进一步恶化的情况下,行CT导引下经皮肺穿刺活检,配合检查痰液和脑脊液找到新型隐球菌而确诊。结论 CT导引下经皮肺穿刺活检是诊断肺隐球菌病很可靠很有价值的诊断方法,值得临床推广应用。
Objective To explore the reasons of misdiagnosis of pulmonary crytococcosis and the correct diagnostic methods.Methods The data of 53 patients with pulmonary crytococcosis collected from 1998 to 2009,were analyzed with X-ray chest radiograph and CT examination results.Results 53 cases with pulmonary crytococcosis were misdiagnosed as 31 cases of pneumonia and pulmonary infection,15 cases of tuberculosis,and 7 cases of lung cancer.With the unapparent effects of anti-inflammation,anti-tuberculosis,anti-tumor treatment,and the further deteriorating diseases,CT-guided percutaneous lung biopsy in combination of sputum and cerebrospinal fluid examination confirmed the diagnosis of pulmonary crytococcosis.Conclusion CT-guided percutaneous lung biopsy is a reliable and valuable method for diagnosis of pulmonary crytococcosis,which deserves clinical application.
出处
《临床医学工程》
2011年第1期77-78,共2页
Clinical Medicine & Engineering
关键词
肺隐球菌病
误诊
X线
CT
分析
Pulmonary crytococcosis
Misdiagnosis
X-ray
CT
Analysis
