摘要
目的 :探讨肺结核继发曲菌球的影像学诊断与误诊分析。方法 :对我院手术治疗并经病理学证实的 82例肺结核继发曲菌球病例的临床资料进行回顾性分析 ,探讨其影像学特征 ,X线分型及常见误诊原因。结果 :根据影像学特征分为 3型 :游离型、附壁结节型与充满型 ,术前确诊率由入院时的 18.3%提高到 92 .7%。结论 :掌握影像学特征及其分型 ,可明显提高肺结核继发曲菌球的确诊率 ,减少漏诊及误诊。
Objective:To explore the image diagnosis and misdiagnostic analysis of pulmonary tuberculosis secondary aspergilloma.Methods:The clinical data of 82 patients with pulmonary tuberculosis secondary aspergilloma received operation and confirmed by pathology were studied to explore the image characters,X-ray typing and common misdiagnosis factors retrospectively.Results:It was divided into three types by image characters:free node type, attached-to-wall node and full-filled node type. The preoperative diagnosis was improved to 92.7% from 18.3% since hospitalized.Conclusions:The diagnosis rate can be improved obviously and the missdiagnosis rate can be reduced by mast the image characters and typing diagnosis.
出处
《中国误诊学杂志》
CAS
2004年第2期164-166,共3页
Chinese Journal of Misdiagnostics
关键词
结核
肺/放射摄影术
曲霉菌病/放射摄影术
误诊
Tuberculosis,pulmonary/radiography
Aspergillosis/radiography
Diagnostic errors