摘要
目的根据支气管肺癌的影像学特征,分析探讨误诊原因,并总结经验以提高支气管肺癌影像学诊断的正确率。方法选取经病理诊断证实为支气管肺癌患者80例,对其影像资料进行回顾性分析,对比影像诊断与病理诊断结果,分析不同病理类型肺癌的影像学资料的特点,对误诊病例的误诊原因加以讨论。结果经影像学诊断为肺癌患者73例,误诊患者7例,误诊率达8.75%,误诊时间平均为3个月,误诊疾病主要为肺炎、慢性支气管炎、肺结核等。鳞癌误诊患者3例,腺癌误诊患者2例,其他误诊患者2例。结论对支气管肺癌的影像学资料进行仔细观察分析,结合病例临床特征,进行综合分析,能够提高诊断的正确率。
Objective To study the causes of misdiagnosis according to imaging features of lung cancer,and improve the accuracy of imaging diagnosis of lung cancer. Methods Image data of 80 cases of lung cancer patients confirmed by pathological diagnosis were retrospectively analyzed, imaging diagnosis and pathological diagnosis were compared, and image features of different pathological types of lung cancer were analyzed. The causes of misdiagnosis were discussed. Results Imaging diagnosis showed that lung cancer was 73 cases ,misdiagnosed was 7 cases ,misdiagnosis rate was 8.75%, average misdiagnosis time was 3 months, misdiagnosed diseases were mainly pneumonia, chronic bronchitis and tuberculosis. 3 cases of squamous cell carcinoma were misdiagnosed,2 cases of adenocarcinoma were misdiagnosed, and other 2 cases were misdiagnosed. Conclusion Careful observation and analysis of imaging data of lung cancer combined with clinical characteristics of patients and comprehensive analysis can improve the accuracy of diagnosis.
出处
《实用癌症杂志》
2016年第4期561-563,共3页
The Practical Journal of Cancer
