肺部周围球形病灶误诊原因研究word论文.docxVIP

中英文缩略词对照表英文缩写英文全名中文译名C TComputed Tomography电子计算机断层扫描MRIMagnetic Resonance Imaging磁共振成像PET-CTPositron Emission Computed Tomography正电子发射体层摄影术HUHounsfield Unit亨氏单位minMinute分钟MVDMicrovessel Density微血管密度目录摘要…………………………………………………………………………………………1ABSTRACT………………………………………………………………………………2前言…………………………………………………………………………………………3内容与方法…………………………………………………………………………………41. 研究对象…………………………………………………………………………41.1 病历资料收集………………………………………………………………… 41.2 一般资料………………………………………………………………………42. 检查方法………………………………………………………………………….43. 确诊途径…………………………………………………………………………44. 观测指标…………………………………………………………………………45. 统计学方法………………………………………………………………………4结果…………………………………………………………………………………………5讨论…………………………………………………………………………………………10小结…………………………………………………………………………………………23致谢…………………………………………………………………………………………24参考文献…………………………………………………………………………………… 25综述…………………………………………………………………………………………27攻读硕士学位期间发表的学位论文…………………………………………………33导师评阅表………………………………………………………………………………… 34肺部周围球形病灶误诊原因分析研究生：常 亮导师：张 铸教授摘要目的：对行影像学检查后误诊的肺部球形病灶进行分析，以期提高诊断正确率。 方法：回顾和分析误诊的 85 例肺部球形病灶患者的临床症状及影像学表现。结果：85 例病例中包括:肺癌 36 例，分别误诊为结核 18 例、炎性假瘤 12 例、肺炎 4 例、胸膜间皮瘤 2 例；结核球 32 例，分别误诊为肺癌 23 例、炎性假瘤 7 例、错构瘤 2例；肺包虫 10 例，分别误诊为肺癌 3 例、结核 5 例、炎性假瘤 2 例；炎性假瘤 5 例，分别误诊为肺癌 1 例、结核 4 例；错构瘤 2 例被误诊为肺结核。咯血、分叶征、密 度、空洞征、卫星病灶在肺部周围球形误诊病灶良、恶两组之间比较 P＜0.05，具有 统计学意义。结论：仔细全面分析影像学特征并结合临床症状，合理应用检查方法， 可减少肺部球形病变的误诊。关键词：肺部疾病；球形病灶；误诊1Analysis of misdiagnosis reason of pulmonaryperipheral spherical lesionsPostgraduate: Chang LiangSupervisor: Prof. Zhang ZhuAbstractObjective: Improve the diagnostic accuracy of the pulmonary spherical lesions which were misdiagnosed after imaging examination. Methods: The clinical symptoms and medical imaging data of 85 cases with pulmonary spherical lesions misdiagnosed were analyzed retrospectively. Results: 85 pulmonary spherical lesions misdiagnosed in the study, 36 cases of lung cancers were misdiagnosed as pulmonary tuberculosis (23 cases), inflammatory pseudotumor (12 cases), pneumonia (4 cases) and pleural mesothelioma(2 cases); 32 cases of pulmonary tuberculosis w