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目的:通过超声对185例肾上腺肿瘤诊断及漏诊、误诊病例分析,寻找影响肾上腺肿瘤超声漏诊及误诊的因素。方法:本文回顾性分析185例肾上腺肿瘤超声与病理的资料,对超声漏诊和误诊原因进行了分类、归纳和总结。结果:通过185例肾上腺肿瘤的超声检查,超声诊断出肾上腺病变122例,诊断正确率65.95%,明显低于相关文献报道,漏诊57例,误诊6例。漏误诊率(34.05%),明显高于相关文献报道,综合分析其病理及影像学资料,将漏误诊原因归纳为五种:①左侧肾上腺肿瘤;②小于2.0 cm的肿瘤;③混合性回声的肿瘤;④临床及超声医师对肾上腺肿瘤认识不足;⑤误诊的主要原因是由于肿瘤巨大,造成定位困难。结论:通过对肾上腺肿瘤漏诊及误诊分析,可以提高超声诊断的准确性,降低漏误诊率。
OBJECTIVE: To analyze the diagnosis, misdiagnosis and misdiagnosis of 185 cases of adrenal tumors by ultrasound and find out the factors which may affect the diagnosis and misdiagnosis of adrenal tumors. Methods: This retrospective analysis of 185 cases of adrenal tumors ultrasound and pathology data, the causes of missed diagnosis and misdiagnosis of ultrasound were classified, summarized and summarized. Results: Of the 185 cases of adrenal tumors, 122 cases of adrenal lesions were diagnosed by ultrasound. The diagnosis accuracy was 65.95%, which was significantly lower than that of the related literatures. 57 cases were missed, and 6 cases were misdiagnosed. Misdiagnosis rate of misdiagnosis (34.05%) was significantly higher than that reported in related literatures. The pathological and imaging data were analyzed comprehensively, and the causes of missed misdiagnosis were summarized as follows: ①the left adrenal tumor; ② the tumors less than 2.0 cm; ③the mixed echo Of the tumor; ④ clinical and ultrasound physicians lack of awareness of adrenal tumors; ⑤ misdiagnosis of the main reason is due to the huge tumor, resulting in positioning difficulties. Conclusion: Misdiagnosis and misdiagnosis of adrenal tumor can improve the accuracy of ultrasonic diagnosis and reduce the misdiagnosis rate of adrenal gland.