摘要
目的：为了提高肺孤立性病灶（φ＜３ｃｍ）肺癌、肺结核瘤、肺炎性假瘤３种疾患的诊断率，更有效地指导手术方式及手术范围。方法：将１２４例肺孤立性病灶（φ＜３ ｃｍ）经手术病理证实的肺癌、肺结核瘤、肺炎性假瘤分成３组，对患者临床症状，病灶的生长部位，Ｘ线、ＣＴ的表现，支气管镜、痰检等检查及误诊的特点进行详细的比较分析。结果：３组病例的临床表现相似；采用支气管镜及痰检诊断阳性率极低；３组病例病灶的分布，在Ｘ线、ＣＴ上的表现有显著差异（Ｐ＜０．０１）。结论：患者的临床症状及支气管镜、痰检检查对肺孤立性病灶（φ＜３ｃｍ）的鉴别诊断帮助不大；病灶的生长部位，Ｘ线、ＣＴ的表现特点将有助于术前的明确诊断。
Objective: To elevate the diagnostic rate of isolated focuses (φ < 3 cm) in lung: carcinoma, tuberculoma and inflammatory pesudotumor of lung. It may effective to direct clinical management Methods: 124 cases suffred from carcinoma, tuberculoma inflammatory pesudotumor of lung demonstrated by the operation and patho1ogy, were divide into 3 groups. A detailed comparation was made for their clinical symptom, the position of focuses, displays of X - Ray, CT, bronchoscopy and sputum examination and the characteristics of misdiagnosis. Results: The clinical manifestation were similar among three groups (P >0. 05); the accuracy of bronchoscopy and sputum examination was very low; there were significant differences among focus distribution and the displays of X - Ray and CT in 3 group (P < 0. 01 ). Conclusion: The clinical symptoms of patients the examination of bronchoscopy and sputum are not useful for differential diagnosis of isolated focuses (φ< 3 cm) of lung, (tuberculoma of lung and inflammatory pesudotumo of lung); the position of focuses , the display characters of X - Ray and CT are conducive to clear and definite diagnosis before operation.
出处
《中国临床医学》
2000年第3期270-272,共3页
Chinese Journal of Clinical Medicine
关键词
肺癌
肺结核瘤
肺炎性假瘤
外科手术
Carcinoma of lung Tuberculoma of lung Inflammatory pesudotumor of lung Symptom diagnosis
