肺炎性假瘤的X线诊断  

X-RAY DIAGNOSIS OF INFLAMMATORY PSEUDOTUMORS OF LUNG

作　　者：崔新建[1] 王英年[1] 高传平 黄湘莲 张一铭[2] 

机构地区：[1]青岛大学医学院第二附属医院放射科,青岛266042 [2]青岛大学医学院附属医院放射科,青岛266042

出　　处：《青岛大学医学院学报》2000年第4期291-292,共2页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：1目的　提高 X线对肺炎性假瘤的诊断水平。2方法　对临床与 X线检查资料较全并经手术病理证实的 31例肺炎性假瘤进行回顾性分析。 3结果　 31例肺炎性假瘤中 X线诊断正确者仅 5例 ,占 16 % ;误诊为肺癌12例 ,占 39% ;良性病变 10例 ,占 32 % ;结核瘤 3例 ,占 10 % ;错构瘤 1例 ,占 3% .总误诊 2 6例 ,占 84% .4结论肺炎性假瘤 X线表现以肺部“桃尖征”为较特征性改变。对诊断确有困难者 ,经皮穿刺行病理细胞学检查有助于明确诊断。Objective To improve the standard of X ray diagnosis of inflammatory pseudotumors of the lung.\ Methods 31 cases of inflammatory pseudotumors of the lung with clinical and X ray data confirmed by operation and pathology were analyzed retrospectively.\ Results\ Only 5 cases were accurate diagnosis by X ray(16%), misdiagnosed as lung cancer was 12 cases(39%), benign lesions 10(32%),tuberculoma 3(10%),hamartoma 1(3%).The misdiagnosis was 26 cases, accounting for 84%. Conclusion \ Peach peak sign' is characteristic in X ray diagnosis of inflammatory pseudotumors of lung. [

关 键 词：肺炎性假瘤 误诊 X线诊断 

分 类 号：R734.2[医药卫生—肿瘤]