运用临床思维提高早期肺癌的精确诊断—附17例首诊误诊原因病例分析  

Using clinical thinking to improve the accurate diagnosis of early stage lung cancer:analysis of 17 cases of misdiagnosis of the first diagnosis

作　　者：徐勇 邹燎原 徐根 刘舒畅 吴指南 Xu Yong;Zou Liaoyuan;Xu Gen;Liu Shuchang;Wu Zhinan(Department of Cardiology Radiology,The First People's Hospital of Pingjiang,Yueyang,Hunan,414500,China;Department of Thoracic Surgery,The First People's Hospital of Pingjiang,Yueyang,Hunan,414500,China;Department of Respiratory Medicine,The First People's Hospital of Pingjiang,Yueyang,Hunan,414500,China)

机构地区：[1]平江县第一人民医院放射科胸心学组,湖南岳阳414500 [2]平江县第一人民医院胸外科,湖南岳阳414500 [3]平江县第一人民医院呼吸内科,湖南岳阳414500

出　　处：《当代医学》2019年第27期90-92,共3页Contemporary Medicine

摘　　要：目的探讨运用临床思维提高早期肺癌的精确诊断效果。方法选择2016年1月至2018年4月在本院进行诊治的肺小结节患者106例:所有患者首次检查都采用GE64排螺旋CT进行扫描,并应用临床思维进行分析。结果本次研究完成手术共69例,总检测成功率89.86%(62/69),失败率10.14%(7/69),对比差异有统计学意义(χ^2=87.681,P=0.000)。结论运用临床思维包括通过综合评估以及规范随访等可提高早期肺癌的精确诊断效果,值得推广并广泛应用。Objective To explore the use of clinical thinking to improve the accurate diagnosis of early stage lung cancer.Methods From January 2016 to April 2018,106 patients with pulmonary nodules were selected who were treated in our hospital.All patients were scanned with GE64 spiral CT for the first time and analyzed with clinical thinking.Results A total of 69 patients underwent surgery in this study.The total success rate was 89.86%(62/69)and the failure was 10.14%(7/69).The difference was statistically significant(χ^2=87.681,P=0.000).Conclusion The use of clinical thinking,including comprehensive assessment and standardized follow-up,can improve the accurate diagnosis of early lung cancer,which is worthy of promotion and wide application.

关 键 词：临床思维 早期肺癌 统一标准(薄层技术) 规范随访(3-3-6-12) 综合评估 

分 类 号：R73[医药卫生—肿瘤]