162例肺癌误诊肺结核鉴别诊断探讨  

162-case study on differential diagnosis of lung cancer misdiagnosed as pulmonary tuberculosis

作　　者：李向红[1] 陆冬梅[1] 田荆方 

机构地区：[1]鞍山千山医院,辽宁114045

出　　处：《临床肺科杂志》2009年第5期645-646,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的提高对肺癌的早期认识。方法回顾分析被误诊的肺癌病人的临床特点,X-线及CT影像分析,病理细胞学检查,纤支镜检查刷检和组织取材活检临床资料。结果162例肺癌患者被误诊为肺结核入院,经X-线、CT影像学、病理学等检查被确诊为肺癌,使病人延误诊断及治疗。结论误诊原因,绝大多数病人发病时,症状及X线、CT影像学检查等不典型,或细菌学及细胞学检查不及时,及当地医疗条件设施不足或认识欠缺等。Objective To study the early lung cancer diagnosis rate. Methods Through 162 cases, the＇data were collected and studied of the clinical characteristic, the X-ray and the CT phantom analysis, the pathology cytology inspection, the textile fiber bronchoscope inspection, brushes examination and selection biopsy. Results 162 lung cancer cases were misdiagnosed as pulmonary tuberculosis before admitted to hospital. In the hospital, the X-ray, CT the phantom and the pathology inspection were carried out in the diagnosis. The diagnosis of lung cancer, were then confirmed delay the diagnosis and the treatment. Conclusion The reasons for the diagnosis include the atypical X-ray and CT shadows, and lack of knowledge. The other reasons are delayed bacteriology and cytology inspection.

关 键 词：肺结核 肺癌 鉴别诊断 

分 类 号：R734.2[医药卫生—肿瘤]