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肺结核继发曲菌球的影像学诊断与误诊分析
引用本文:高夏,李遂莹,袁五营,梁庆正. 肺结核继发曲菌球的影像学诊断与误诊分析[J]. 中国误诊学杂志, 2004, 4(2): 164-166
作者姓名:高夏  李遂莹  袁五营  梁庆正
作者单位:河南省胸科医院胸外科,河南,郑州,450003
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。

关 键 词:结核  肺/放射摄影术  曲霉菌病/放射摄影术  误诊
文章编号:1009-6647(2004)02-0164-03
修稿时间:2003-11-08

Image Diagnosis and Misdiagnostic Analysis of Pulmonary Tuberculosis Secondary Aspergilloma
GAO Xia,LI Sui-ying,YUAN Wu-ying,et al.. Image Diagnosis and Misdiagnostic Analysis of Pulmonary Tuberculosis Secondary Aspergilloma[J]. Chinese Journal of Misdiagnostics, 2004, 4(2): 164-166
Authors:GAO Xia  LI Sui-ying  YUAN Wu-ying  et al.
Abstract: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.
Keywords:Tuberculosis  pulmonary/radiography  Aspergillosis/radiography  Diagnostic errors
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