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本文报告68例肾肿瘤的临床资料,其中18例误诊或术前未确诊。误诊原因有①对上腹肿物的患者未考虑肾肿瘤的可能,②忽视肾癌的肾外表现,③满足于静脉肾盂造影的非典型改变,④对继发性肾孟癌警惕不够,⑤缺乏尿路积血与肿瘤的鉴别经验,⑥辅助检查的误差。在分析误诊原因的基础下,作者提出了提高诊断正确率的意见。
This article reports 68 cases of renal tumor clinical data, of which 18 cases were misdiagnosed or not diagnosed before surgery. The causes of misdiagnosis were ① the patients with upper abdominal mass did not consider the possibility of renal tumors, ② the renal manifestations of renal carcinoma were ignored, ③ the atypical changes of intravenous pyelography were satisfied, ③ the vigilance of secondary renal carcinoma was not enough, ⑤ Lack of urinary tract hematuria and tumor identification experience, ⑥ auxiliary examination of the error. Based on the analysis of the causes of misdiagnosis, the author put forward the opinion of raising the accuracy of diagnosis.