23例误诊为肺癌的不典型肺结核X线影像分析

The roentgenologic analyses of 23 cases with atypical tuberculosismisdiagnosed as lung carcinoma

目的 :通过对23例误诊为肺癌的不典型肺结核X线影像分析 ,提高对不典型肺结核的X线诊断及鉴别诊断水平。方法 :收集23例术前X线诊断为肺癌而手术病理证实为肺结核的X线片及CT片 ,对其X线表现进行分析。结果 :不典型肺结核与肺癌在病灶形态、密度、边缘、灶周改变及纵隔肺门等表现均有不同。结论 :注意观察分析病灶的形态、边缘、密度、灶周及纵隔肺门改变 。

Objective:To improve the ability of x ray diagnosis and distinguish diagnosis by x ray analyses of 23 patients with atypical tuberculosis misdiagnosed.Methods:Preoperative x ray and CT films of 23 cases suspected of lung cancer who had tuberculosis actually proved by postoperative pathological analyses were collected and analyzed.Results:There were differences in lesion shape,density,boundary,change around the lesion and mediastinum hilus of lung between atypical tuberculosis and lung cancer.Conclusion:To pay attention to observation and analyses of lesion shape,density,boundary,change around the lesion and mediastinum hilus of lung,the diagnostic accuracy of atypical tuberculosis can be increased.