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目的:分析探讨胸部DR片对肺癌漏诊和误诊,旨在提高诊断肺癌的水平。方法:分析对比2010年~2012年我院诊断的64例肺癌病人的DR资料和病理结果。结果:64例诊断为肺癌的病人,病理学诊断结果:鳞癌的28例,占43.8%;腺癌8例,占12.5%;小细胞癌10例,占15.6%;未分化癌2例,占3.1%;发现癌细胞8例,占12.5%;可疑癌细胞6例,占9.4%;肺结核2例,占3.1%。胸部DR片诊断结果:漏诊6例,占9.4%,误诊为肺炎6例,占9.4%;误诊为肺结核4例,占6.3%;误诊为斜裂积液4例,占6.3%。结论:胸部DR片对肺癌的漏诊误诊率较高,发现可疑的病灶,要尽可能的仔细观察,诊断时一定要结合病人的临床症状和表现,对于诊断不明的病人建议行进一步检查,以降低漏误诊率。
OBJECTIVE: To analyze the misdiagnosis and misdiagnosis of chest DR on lung cancer and to improve the diagnosis of lung cancer. Methods: To compare and analyze the DR data and pathological findings of 64 cases of lung cancer diagnosed in our hospital from 2010 to 2012. Results: Of the 64 patients diagnosed with lung cancer, pathological diagnosis showed that 28 cases were squamous cell carcinoma (43.8%), 8 cases were adenocarcinoma (12.5%), 10 cases were small cell carcinoma (15.6%), 2 cases were undifferentiated carcinoma Accounting for 3.1%; found in 8 cases of cancer cells, accounting for 12.5%; suspicious cancer cells in 6 cases, accounting for 9.4%; tuberculosis in 2 cases, accounting for 3.1%. Chest DR chip diagnostic results: 6 cases missed diagnosis, accounting for 9.4%, misdiagnosed as pneumonia in 6 cases, accounting for 9.4%; misdiagnosed as pulmonary tuberculosis in 4 cases, accounting for 6.3%; misdiagnosed as oblique hydrocele in 4 cases, accounting for 6.3%. Conclusions: The misdiagnosis rate of chest DR in missed diagnosis of lung cancer is high. If any suspicious lesion is found, careful observation should be made. Combined with the clinical symptoms and manifestations of the patient, we suggest further examination for patients with unknown diagnosis to reduce Miss misdiagnosis rate.