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目的:探讨纵膈肿瘤或肿瘤样病变的影像学误诊原因。方法:回顾江苏无锡市惠山区人民医院2006/2009-06误诊的11例纵膈肿瘤或肿瘤样病变影像学资料,分析误诊原因。结果:11例误诊患者均经及时修正诊断,由临床作相应处理。结论:为了避免纵膈病变的误诊,必须提高对纵膈内解剖变异的认识,各项检查一定要完善,诊断时要开拓思路,密切结合临床表现,支气管镜检及穿刺活检有利于诊断的确立。
Objective: To investigate the causes of misdiagnosis of mediastinal tumors or tumor-like lesions. Methods: The imaging data of 11 cases of mediastinal tumor or tumor-like lesions misdiagnosed in Huishan District People’s Hospital of Wuxi City, Jiangsu Province from 2006/2009 to June 2007 were analyzed to analyze the causes of misdiagnosis. Results: 11 cases of misdiagnosed patients were diagnosed in time and treated accordingly. Conclusion: In order to avoid the misdiagnosis of mediastinal disease, we must raise awareness of the anatomic variation in the mediastinum. The examinations must be perfected. The diagnosis should be based on a combination of clinical manifestations, bronchoscopy and biopsy in favor of diagnosis .