尘肺诊断读片差异分析  

Analysis on the diversity in chest skiagram observation during pneumoconiosis diagnosis

作　　者：肖友立[1] 陆长城[1] 李再勤[1] 

机构地区：[1]湖南省劳动卫生职业病防治所,湖南长沙410007

出　　处：《中国职业医学》2004年第1期29-31,共3页China Occupational Medicine

摘　　要：目的　通过尘肺诊断读片差异分析 ,提高尘肺诊断水平。方法　采用个体读片方式 ,对其在尘肺期别 ,小阴影形态、密集度及分布范围的读片差异进行统计分析。结果　无尘肺 0 + 的读片差异最大 ,诊断年限 5年以下组对Ⅰ期尘肺诊断的正确率明显低于 2 0年以上组 ,在小阴影密集度及分布范围的判断上 ,诊断年限 5年以下组明显低于其他组 ,影像专业组则明显高于其他专业组。结论　对低年资的诊断人员要加强读片训练 ,非影像专业人员有必要进行胸部影像学培训 。ObjectiveTo improve the level of pneumocon iosis diagnosis by analyzine the diversity in the chest skiagram observation. MethodsWith observing the chest skiagram independently, the re sults of diagnosis were counted and analyzed on the diversities in the identific at ion of the grade of pneumoconiosis, the shape of small shadows, density and the distribution of the shadows. ResultsGreatest difference were found in the identification of the non-pneumoconiosis 0 +, as for the correct rate on the Ⅰ-grade pneumoconiosis, the group less than 5-year experience wa s lower than that of the group up to 20 years, as for the correct rate of the ide ntification for the distribution of the density of small shadows, the group less than 5-year experience was lower significantly than other groups. On the othe r hand, the correct rate of the groups of imaging specialized was higher than th at of other groups. ConclusionIt would be necessary to train the junior profes sion als with technical skills on the chest skiagram observation and to train the no n-im aging-group with chest imaging knowledge and to diagnose pneumoconiosis by coll ective wisdom.

关 键 词：尘肺 诊断 读片差异 

分 类 号：R135.1[医药卫生—劳动卫生]