肺炎型肺癌的影像学特点及误诊分析  

Imaging Features of Pneumonia,Lung Cancer and Misdiagnosis

作　　者：冯家义 刘美红 陈华平[3] 江广明 

机构地区：[1]韶关市铁路医院放射科,广东省512023 [2]韶关市铁路医院内一科,广东省512023 [3]粤北人民医院放射科,广东省512023

出　　处：《现代医用影像学》2016年第3期387-390,共4页Modern Medical Imageology

摘　　要：目的:探讨肺炎型肺癌影像学特点,深入肺炎型肺癌认识,提高诊断水平,降低临床误诊率。材料与方法:回顾性选取2013年1月份至2014年12月份在我科胸部DR、CT检查、经我院及粤北医院手术病理证实的36例肺炎型肺癌患者作为研究对象,回顾性分析全部患者的影像学资料及病理检查结果。结果:病变部位可分布各肺段,局灶性分布较多,无跨越肺段侵袭肺叶,影像表现主要为边缘不清云絮状肿块影、云絮状影伴结节、肺段实变影、肺实变伴空泡及蜂窝状影、肺炎纤维样化及混合阴影。结论:肺炎型肺癌患者影像学检查结果多具有肺炎样改变,极易误诊肺炎性疾病,临床诊断中结合活检检查技术,有利于改善临床诊断正确率。Purpose： To investigate the pneumonic lung imaging features,in-depth pneumonia,lung cancer awareness,improve the diagnosis and reduce the misdiagnosis rate. Materials and Methods： randomly selected from October 2013 to February 2014 in our hospital thoracic surgery 36 patients hospitalized with pneumonia lung cancer patients as research subjects,all patients were retrospectively analyzed imaging data and pathological findings. Results： The distribution of the lung lesions can segment more focal distribution,non-invasive lobe lung segment spans,video performance is mainly flocculent mass in the cloud edge is unclear,cottony clouds shadow with nodules,pulmonary segments opacities,pulmonary consolidation vacuoles and honeycomb shadow of pneumonia-like fibers and mixed with shadows. Conclusion： The imaging findings in patients with pneumonia,lung cancer and more with pneumonia-like changes,easily misdiagnosed pneumonia disease,combined with the clinical diagnosis of biopsy techniques,will help to improve the accuracy of clinical diagnosis.

关 键 词：肺炎型肺癌 影像学 误诊 

分 类 号：R734.2[医药卫生—肿瘤]