支气管囊肿CT误诊分析(附23例报道)

The Analysis of Diagnostic Errors of Bronchogenic Cyst on CT (Report of 23 Cases)

目的 :探讨支气管囊肿CT误诊原因。方法 :搜集经手术和病理证实的支气管囊肿 2 3例 ,观察病变CT征象 ,并对CT误诊的疾病归类分析。结果 :误诊为支气管扩张、多发性肺脓肿、肺癌、肺大泡、后纵隔神经原性肿瘤 ,分别占 11例、 3例、 5例、 2例、 2例。结论 :分析支气管囊肿所具不同的CT征象及其反映的病理实质 ,结合临床资料 ,并注意与类似征象的疾病相鉴别 ,是避免误诊 。

Objective:To find out the factors of diagnostic errors of bronchogenic cyst on CT.Methods:CT features of bronchogenic cyst of 23 cases treated by operation and being pathologically proved were retrospectively classified and analyzed, focusing on the CT features of the lesions and the false diagnostic diseases.Results:Eleven cases,3 cases,5 cases were mistaken for bronchiectasis,multiple lung abscess and lung cancer,respectively;the cases which were misdiagnosed as pneumatocele and the tumor of nerve in posterior mediastinum in each of 2 cases.Conclusion:Searching for all the CT features of bronchogenic cyst,referring to the important clinical materials and concentrating on the differences from similar diseases on CT was the effective way for making accurate diagnosis.