肺结核并发肺癌CT漏诊原因分析及体会  

Analysis and Experience of CT Misdiagnosis of Pulmonary Tuberculosis Complicated with Lung Cancer

作　　者：朱进 马波 陈均 Zhu Jin;Ma Bo;Chen Jun(Department of Radiology,the Sixth People’s Hospital of Nantong City,Nantong,Jiangsu 226001)

机构地区：[1]南通市第六人民医院放射科,江苏南通226001

出　　处：《现代医用影像学》2021年第1期65-67,共3页Modern Medical Imageology

摘　　要：目的:探讨肺结核并发肺癌CT漏诊原因及体会,减少漏诊。方法:回顾性分析65例肺结核患者并发肺癌在初期漏诊肺癌的临床症状及CT影像资料。结果:65例患者中,咳嗽咳痰52例,其中刺激性咳嗽17例、咯血16例、消瘦23例、声音嘶哑8例、血性胸腔积液13例,肺结核和肺癌发生于同一肺叶23例,不同肺叶42例。周围型肺癌56例,中央型肺癌9例。61例病灶≤3cm,其余4例>3cm。肺结核与肺癌在空洞形态、边缘分叶、毛刺、病灶及淋巴结强化方式等方面存在一定CT影像差异。结论:详细分析肺结核患者并发肺癌的临床表现及影像资料,提高两病共存的认识,可有效避免漏诊,早期干预,提高患者生存率。Objective:To investigate the causes and experience of CT misdiagnosis in patients with pulmonary tuberculosis complicated with lung cancer,in order to reduce the misdiagnosis.Methods:65 patients examined by 64 slice MSCT with pulmonary tuberculosis complicated with lung cancer were selected.The clinical symptoms and CT imaging findings of the patients were retrospectively analyzed.Results:In the 65 patients,52 patients suffering from cough(17 irritable cough)chest pain,16 suffering from hemoptysis,23 suffering from emaciation,8 hoarseness and 13 bloody pleural effusion.23 patients had lesions in the same lobe,and 42 in different lobes.In the selected cases,there were 56 cases of peripheral lung cancer and 9 cases of central lung cancer.There were 61 lesions≤3 cm in size,and 4 lesions>3 cm.There are some differences between pulmonary tuberculosis and lung cancer,such as cavity sign,,lobulation sign,speculation sign,enhancement of lesions and lymph nodes.Conclusion:The clinical manifestations and imaging data of pulmonary tuberculosis patients complicated with lung cancer were analyzed in detail to improve the understanding of co-existence of the two diseases,which can effectively avoid misdiagnosis,provide early intervention and improve the survival rate of patients.

关 键 词：肺结核 肺肿瘤 体层摄影术 X线计算机 

分 类 号：R734.2[医药卫生—肿瘤] R521[医药卫生—临床医学] R816.4