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目的探讨周围型肺癌误诊原因 ,以期提高诊断正确率。方法对 6 0例周围型肺癌的临床、X线表现进行回顾性分析。结果 1某些解剖结构 ,如肺门、锁骨及肋骨、心脏、纵隔、膈肌等与病灶重叠 ;2合并肺部慢性疾病 ,如慢性支气管肺炎、肺结核等 ;3癌灶不典型及对肺癌某些少见征象缺乏综合分析 ,此三点均干扰阅片影响正确诊断。结论对 X线表现不典型者结合临床综合分析
Objective To investigate the causes of misdiagnosis of peripheral lung cancer in order to increase the diagnostic accuracy. Methods The clinical and X-ray features of 60 cases of peripheral lung cancer were analyzed retrospectively. Results 1 Some anatomical structures, such as hilar, clavicle and ribs, heart, mediastinum, diaphragm, etc., overlapped with the lesions; 2 Combined lung chronic diseases, such as chronic bronchial pneumonia, tuberculosis, etc.; 3 Atypical foci and some lung cancers. A lack of comprehensive analysis of rare signs, these three points interfere with the correct diagnosis of the impact of the film. Conclusion Combination of clinical analysis is not typical for X-ray findings