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本文对我省基层尘肺诊断组确诊的１００例尘肺进行了读片调查分析。结果显示，尘肺分期诊断符合率低（６１％），不同种类尘肺分期诊断符合率以煤工尘肺大高（７２．２２％），矽肺次之（６４．２９％），水泥尘肺最低（２５％）。尘肺分期诊断冒诊率高（３３％），尤以Ⅰ期尘肺（３５．５３％）和水泥尘肺（７５％）为甚。尘肺漏诊率为６％。小阴影密集度的判断差异（８３．３３％）是造成冒漏诊的主要原因。尘肺病变的形态学、小阴影密集度和分布范围诊断不一致的分别为３３．３３％、２６．３９％、３４．７２％。购片质量不高。看来，我省基层尘肺诊断小组对熟练、准确掌握现行尘肺Ｘ线诊断标准仍有一定差距。并对提高尘肺诊断的准确性提出了看法。
In this paper, 100 cases of pneumoconiosis diagnosed in our province’s pneumoconiosis diagnosis group were surveyed. The results showed that the coincidence rate of pneumoconiosis staging was low (61%). The coincidence rates of different types of pneumoconiosis staging were as follows: coal pneumoconiosis (72.22%), silicosis (64.29%), cement pneumoconiosis ). Pneumoconiosis staging diagnosis rate (33%), especially stage I pneumoconiosis (35.53%) and cement pneumoconiosis (75%) is even worse. The rate of missed diagnosis of pneumoconiosis was 6%. The discrepancy in the intensity of small shadows (83.33%) is the main reason for the risk of missed diagnosis. Morphology of pneumoconiosis, inconsistencies in the distribution of small shadows and distribution were 33.33%, 26.39%, 34.72%, respectively. Purchasing quality is not high. It seems that the grassroots pneumoconiosis diagnostic team in our province is still a long way from being skilled and accurately grasping the current diagnostic criteria for pneumoconiosis. And raised the viewpoints of improving the accuracy of pneumoconiosis diagnosis.