23例误诊为肺癌的不典型肺结核X线影像分析  

The roentgenologic analyses of 23 cases with atypical tuberculosismisdiagnosed as lung carcinoma

作　　者：席晓秋[1] 张果林[1] 颜海婴[1] 肖瑞君[1] 

机构地区：[1]四川省肿瘤医院影像科,成都610041

出　　处：《四川肿瘤防治》2001年第1期31-33,共3页Sichuan Journal of Cancer Control

摘　　要：目的 :通过对23例误诊为肺癌的不典型肺结核X线影像分析 ,提高对不典型肺结核的X线诊断及鉴别诊断水平。方法 :收集23例术前X线诊断为肺癌而手术病理证实为肺结核的X线片及CT片 ,对其X线表现进行分析。结果 :不典型肺结核与肺癌在病灶形态、密度、边缘、灶周改变及纵隔肺门等表现均有不同。结论 :注意观察分析病灶的形态、边缘、密度、灶周及纵隔肺门改变 。Objective:To improve the ability of x ray diagnosis and distinguish diagnosis by x ray analyses of 23 patients with atypical tuberculosis misdiagnosed.Methods:Preoperative x ray and CT films of 23 cases suspected of lung cancer who had tuberculosis actually proved by postoperative pathological analyses were collected and analyzed.Results:There were differences in lesion shape,density,boundary,change around the lesion and mediastinum hilus of lung between atypical tuberculosis and lung cancer.Conclusion:To pay attention to observation and analyses of lesion shape,density,boundary,change around the lesion and mediastinum hilus of lung,the diagnostic accuracy of atypical tuberculosis can be increased.

关 键 词：不典型肺结核 肺癌 误诊 X线影像分析 诊断 

分 类 号：R521[医药卫生—内科学]