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目的探讨肺癌误诊原因,提高早期诊断率。方法总结分析45例肺癌的临床表现及误诊原因。结果本组误诊疾病达10余种,依次为肺炎、肺结核、慢性支气管炎等,误诊时间平均6个月。结论重视肺癌的早期症状,动态随访影像学改变,反复痰及胸水脱落细胞学检查,尽早纤支镜检查或经皮肺穿刺活检,对减少肺癌误诊及发现早期肺癌有重要价值。
Objective To investigate the causes of misdiagnosis of lung cancer and improve the early diagnosis rate. Methods The clinical manifestations and misdiagnosis of 45 cases of lung cancer were analyzed. Results The group misdiagnosed more than 10 kinds of diseases, followed by pneumonia, tuberculosis, chronic bronchitis, misdiagnosis of an average of 6 months. Conclusion Early attention to lung cancer, dynamic follow-up imaging changes, repeated phlegm and pleural effusion cytology, as early as possible bronchoscopy or percutaneous lung biopsy, to reduce the misdiagnosis of lung cancer and found that early lung cancer has important value.