肺部肿块临床误诊398例分析

Clinical Misdiagnostic analysis on 398 Patients with Pulmonary Mass

目的 分析肺部肿块临床误诊中存在的问题。方法 对 398例临床诊断为肺癌的病人进行回顾性分析。结果 临床误诊为肺癌的 398例经病理证实为 338例 ,占 84 .9% ,其中鳞状细胞癌 169例占50 %。小细胞未分化癌 97例占 2 8.7% ,腺癌 33例占 9.7%。结论 肺部肿块的误诊主要在临床方面 ,对肺部肿块的患者应全面考虑。

Objective To analyse the clinical misdiagnosis of pulmonary mass. Methods 398 patients who were diagnosed clinically as pulmonary cancer in our hospital from 1990 to 1999 were analysed retrospectively. Results 338 patients were proved as pulmonary cancer out of 398 patients, who were diagnosed clinically as pulmonary canaer, accounting for 84.9%, 169 cases of squamous cell carcinoma, 50 %,undifferentiated in 97 cases, 28.7%, adeno carcinoma in 33 cases,9.7%.Conclusion The misdiagnosis of pulmonary mass is mainly caused by clinical aspects.Everything should be taken into account for patients with pulmonary mass.