论文部分内容阅读
目的分析X线胸片诊断肺癌过程中的误诊原因,进一步提高阅读X线胸片的水平以及诊断肺癌的综合分析能力。方法整理河南省胸科医院呼吸科经病理及CT诊断为肺癌的27例误诊病例资料,分析X线表现和误诊原因。结果 27例患者经X线胸片误诊报告为肺炎8例,结核性胸膜炎7例,浸润性肺结核6例,肺结核空洞4例,纵隔肿瘤2例。全部患者经病理及CT复查为肺癌。结论肺癌灶不典型以及发生多部位转移时,其X线表现与肺结核等疾病相似,且鉴别较难,需要密切结合临床症状和借助其它检查设施综合分析或进一步检查,进而降低误诊率。
OBJECTIVE: To analyze the causes of misdiagnosis in the diagnosis of lung cancer by X-ray and further improve the reading ability of X-ray and diagnosis of lung cancer. Methods The data of 27 cases misdiagnosed as pathological and CT diagnosed as lung cancer in Department of Respiratory Medicine of Thoracic Hospital of Henan Province were collected, and the causes of X-ray findings and misdiagnosis were analyzed. Results 27 cases were diagnosed as misdiagnosed by X-ray chest as 8 cases of pneumonia, 7 cases of tuberculous pleurisy, 6 cases of invasive pulmonary tuberculosis, 4 cases of pulmonary tuberculosis and 2 cases of mediastinal tumor. All patients by pathology and CT review for lung cancer. Conclusions In patients with atypical lung cancer and multi-site metastases, the X-ray findings are similar to those of tuberculosis. The differential diagnosis is more difficult. Patients with lung cancer need to be closely combined with clinical symptoms and comprehensively analyzed or further examined with other examination facilities to further reduce the misdiagnosis rate.