151例肺癌误诊分析  

THE ANALYSIS OF MISDIAQNOSIS OF LUNG CANCER IN 151 CASES

作　　者：赵兴吉[1] 方祥和 杨大业[1] 付鉴[1] 张安娣 李刚[2] 

机构地区：[1]重庆市外科医院胸外科,630013 [2]重庆市外科医院病理科,630013

出　　处：《重庆医学》1994年第3期132-133,共2页Chongqing medicine

摘　　要：本文分析151例延误诊治的肺癌,占同期手术治疗肺癌476例的31.7％。误诊时间3～132月,平均11个月。误诊组肺癌的可手术率较同期非误诊组肺癌低15％。术后1、3、5、10年生存率明显低于同期非误诊肺癌组,有非常显著的统计学意义(p<0.001)。误诊的定义是:除临床症状以外,当x线检查发现肺部阴影达3个月或以上未确诊,后经病理证实为肺癌者。误诊的疾病主要为肺结核、肺炎、肺脓肿、肺部肿块性质待诊等。文中重点讨论了误诊的主要原因、诊断与鉴别要点,减少或避免误诊的措施。Form 1962 to 1990, 476 cases of lung cancer were performed operation and 151 cases were misdiagnosed.in the cases, misdiagnostic rate was 31.7%. The disease of the misdiagnoses included pulmonary tuberculosis,pneumonia, lung abscess, mass of lung.etc. misdiagnostic time was 3 to 132 monthes,average 11 monthes. In themisdiagnostic group.thier operable rate was lower 15%. than those of the instant diagnostic group. In the operablecases. the In3、5、10 surviving rate betwen the misdiagnostic and instant diagnostic cases were different,much,theformer was lower than the latter (p<0.001 ).the causes of misdiagnosis was discussed.

关 键 词：癌 误诊 诊断 肺肿瘤 

分 类 号：R734.204[医药卫生—肿瘤]