肺部周围球形病灶误诊原因研究

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1、中英文缩略词对照表英文缩写英文全名中文译名CTComputedTomography电子计算机断层扫描MRIMagneticResonanceImaging磁共振成像PET-CTPositronEmissionComputedTomography正电子发射体层摄影术HUHounsfieldUnit亨氏单位minMinute分钟MVDMicrovesselDensity微血管密度摘要内容与方法34ABSTRACT1.研究对象1.1病历资料收集1.2一般资料42.检查方法43.确诊途径44.观测指标45.统计学方法4结果5讨论10小结23致谢24参考

2、文献25综述27攻读硕士学位期间发表的学位论文33导师评阅表34肺部周围球形病灶误诊原因分析研究生：常亮导师：张铸教授目的：对行影像学检查后误诊的肺部球形病灶进行分析，以期提高诊断正确率。方法：回顾和分析误诊的85例肺部球形病灶患者的临床症状及影像学表现。结果：85例病例屮包括:肺癌36例，分别误诊为结核18例、炎性假瘤12例、肺炎4例、胸膜间皮瘤2例；结核球32例，分别误诊为肺癌23例、炎性假瘤7例、错构瘤2例；肺包虫10例，分别误诊为肺癌3例、结核5例、炎性假瘤2例；炎性假瘤5例,分别误诊为肺癌1例、结核4例；错构瘤2例被误诊为肺结核。咯血

3、、分叶征、密度、空洞征、卫星病灶在肺部周围球形误诊病灶良、恶两组之间比较P<0.05,具有统计学意义。结论：仔细全面分析影像学特征并结合临床症状，合理应用检查方法,可减少肺部球形病变的误诊。关键词：肺部疾病；球形病灶；误诊AnalysisofmisdiagnosisreasonofpulmonaryperipheralsphericallesionsPostgraduate:ChangLiangSupervisor:Prof.ZhangZhuAbstractObjective:Improvethediagnosticaccuracyofthep

4、ulmonarysphericallesionswhichweremisdiagnosedafterimagingexamination.Methods:Theclinicalsymptomsandmedicalimagingdataof85caseswithpulmonarysphericallesionsmisdiagnosedwereanalyzedretrospectively.Results:85pulmonarysphericallesionsmisdiagnosedinthestudy,36casesoflungcancerswe

5、remisdiagnosedaspulmonarytuberculosis(23cases),inflammatorypseudotumor(12cases),pneumonia(4cases)andpleuralmesothelioma(2cases);32casesofpulmonarytuberculosisweremisdiagnosedaslungcancers(23cases);inflammatorylesions(7cases),hamartoma(2cases);10casesofPulmonaryhydatidweremis

6、diagnosedaslungcancer(3cases)>pulmonarytuberculosis(5cases)andinflammatorypseudotumor(2cases);5casesofinflammatorypseudotumorweremisdiagnosedaslungcancer(1cases)andpulmonarytuberculosis(4cases);2casesofpulmonaryhamartomaweremisdiagnosedaspulmonarytuberculosis.Hemoptysis,lobu

7、latedsign,density,cavitationsign,andsatellitefocihadstatisticalsignificancebetweenbenignandmalignantofthemisdiagnosisofperipheralpulmonarysphericallesions(P<0.05).Conclusion:Themisdiagnosisofpulmonarysphericallesionscouldbedecreasedbyanalyzesexaminationandclinicalmanifestati

8、onattentively,andapplieslogicalexaminationmethods.Keywords:Lungdisease;Sphe