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目的:分析肺结核CT误诊的原因,探讨解决方法与策略。方法:收集22例与肺结核相关的CT误诊病例的CT影像学资料,结合其病理和临床资料进行回顾性分析。结果:22例误诊病例中8例肺结核分别被误诊为肺癌、肺炎、支气管扩张、转移瘤;14例其他疾病误诊为肺结核。结论:提高对肺结核影像表现新特征的认识、紧密结合临床,建立规范化检查程序,才能有效地减少误诊、提高诊断水平。
Objective: To analyze the causes of misdiagnosis of CT in tuberculosis and to explore the solutions and strategies. Methods: Twenty - two cases of CT misdiagnosis related to pulmonary tuberculosis were collected and analyzed retrospectively with their pathological and clinical data. Results: Of the 22 misdiagnosed cases, 8 cases of pulmonary tuberculosis were misdiagnosed as lung cancer, pneumonia, bronchiectasis and metastases respectively. Other 14 cases were misdiagnosed as pulmonary tuberculosis. Conclusion: To improve the understanding of the new features of pulmonary tuberculosis imaging, closely combine clinical and establish a standardized examination procedure, can effectively reduce the misdiagnosis and improve the diagnostic level.