| 文智,周永,阿里甫.肺部单发球形病变的CT误诊分析[J].中国医学影像技术,2008,24(8):1208~1211 |
| 肺部单发球形病变的CT误诊分析 |
| CT analysis on misdiagnosis of pulmonary solitary spherical lesions |
| 投稿时间：2008-01-04 修订日期：2008-03-06 |
| DOI： |
| 中文关键词: 肺疾病 体层摄影术,X线计算机 误诊 |
| 英文关键词:Lung disease Tomography, X-ray computed Diagnostic errors |
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| 中文摘要: |
| 目的 对34例肺部单发球形病变的CT误诊原因进行分析,以期提高诊断正确率。 方法 回顾性分析34例经临床和病理证实的肺部单发球形病变的临床及CT资料。 结果 34例误诊的肺部球形病变中包括10例结核,分别误诊为炎性病变3例,肺癌7例;10例肺癌,分别误诊为炎性病变6例,结核2例,另外2例定位为胸壁病变且其中1例误诊为炎性病变;11例炎性病变,分别误诊为肺癌9例,结核2例;2例肺囊肿、1例错构瘤均误诊为肺癌。 结论 合理的检查方法,全面综合的分析影像学表现并结合临床可最大限度降低肺部球形病变的误诊率。 |
| 英文摘要: |
| Objective To analyze CT misdiagnostic reasons of 34 cases with solitary pulmonary spherical lesions in order to improve the accuracy of CT diagnosis. Methods The clinical and the CT data of 34 cases with pulmonary spherical lesions proven pathologically or clinically were analyzed retrospectively. Results Among thirty-four pulmonary spherical lesions misdiagnosed by CT examination in this study, 10 cases of pulmonary tuberculosis were misdiagnosed as the inflammatory lesions (3 cases) and lung cancers (7 cases); 10 lung cancers were misdiagnosed as inflammatory lesions (6 cases), tuberculosis (2 cases) and the thoracic wall lesions (2 cases); 11 inflammatory lesions were misdiagnosed as lung cancers (9 cases) and tuberculosis (2 cases); and 2 lung cysts and 1 pulmonary hamartoma were all misdiagnosed as lung cancers. Conclusion The CT misdiagnostic rate of solitary pulmonary spherical lesions might be reduced utmostly by the optimized CT technique and the comprehensive analysis on CT features and clinical data. |
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