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1目的 提高 X线对肺炎性假瘤的诊断水平。2方法 对临床与 X线检查资料较全并经手术病理证实的 31例肺炎性假瘤进行回顾性分析。 3结果 31例肺炎性假瘤中 X线诊断正确者仅 5例 ,占 16 % ;误诊为肺癌12例 ,占 39% ;良性病变 10例 ,占 32 % ;结核瘤 3例 ,占 10 % ;错构瘤 1例 ,占 3% .总误诊 2 6例 ,占 84% .4结论肺炎性假瘤 X线表现以肺部“桃尖征”为较特征性改变。对诊断确有困难者 ,经皮穿刺行病理细胞学检查有助于明确诊断。
Objective To improve the diagnostic level of X-ray on pneumonic pseudotumor. 2 Methods The clinical and X-ray findings were compared with all 31 surgically-pathologically confirmed 31 cases of pneumonic pseudotumor retrospective analysis. 3 Results 31 cases of pleomorphic sarcomas in the correct diagnosis of X-ray only 5 cases, accounting for 16%; misdiagnosed as 12 cases of lung cancer, accounting for 39%; benign lesions in 10 cases, accounting for 32%; tuberculoma in 3 cases, accounting for 10%; One case of hamartoma, accounting for 3% of the total misdiagnosis of 26 cases, accounting for 84% .4 Conclusion Pneumonic pseudotumor X-ray findings in the lung “peach tip” as the more characteristic changes. For those who have difficulty in diagnosis, percutaneous puncture for pathological cytology can help confirm the diagnosis.