CAJ | 학술논문

目的：分析 X 线胸片漏诊隐匿性肺癌的原因，并评价 CT 扫描对隐匿性肺癌的诊断价值。方法选择 X 线漏诊的隐匿性肺癌43例患者为研究对象。通过比较 X 线和 CT 检查结果，分析 X 线漏诊原因。结果43例患者正位 X 线胸片结果显示无异常，行侧位 X 线胸片检查后，30例患者依然未见异常。CT 扫描证实43例患者全为隐匿性肺癌。CT 扫描对支气管腔内、肺门区肿块及纵隔淋巴结肿大的显示情况优于 X 线胸片检查，差异有统计学意义（P ﹤0.05）。结论 X 线诊断隐匿性肺癌的漏诊率高。对于疑似隐匿性肺癌的患者，有必要行 CT 扫描，及早发现隐匿性肺癌，进一步确定病情，并采取针对性治疗。
목적：분석 X 선흉편루진은닉성폐암적원인，병평개 CT 소묘대은닉성폐암적진단개치。방법선택 X 선루진적은닉성폐암43례환자위연구대상。통과비교 X 선화 CT 검사결과，분석 X 선루진원인。결과43례환자정위 X 선흉편결과현시무이상，행측위 X 선흉편검사후，30례환자의연미견이상。CT 소묘증실43례환자전위은닉성폐암。CT 소묘대지기관강내、폐문구종괴급종격림파결종대적현시정황우우 X 선흉편검사，차이유통계학의의（P ﹤0.05）。결론 X 선진단은닉성폐암적루진솔고。대우의사은닉성폐암적환자，유필요행 CT 소묘，급조발현은닉성폐암，진일보학정병정，병채취침대성치료。
Objective To analyze the missed diagnosis causes of occult lung cancer by X-ray, and evaluate the diagnosis value of CT scans on occult lung cancer. Methods Forty-three patients with occult lung cancer missed diagnosed by X-ray were chose as study objects. By comparing the results of X-ray and CT examination,the missed diagnosis causes of occult lung cancer by X-ray were analyzed. Re-sults The anteroposterior chest X-ray results were not abnormal in all of the 43 patients,and the lateral chest X-ray results were not abnormal in 30 patients. All of the 43 patients were confirmed with occult lung cancer by CT scans. CT scan was superior to the chest X-ray in display the bronchial lumen,lung hilar tumor and mediastinal lymph nodes enlargement,there were significant differences( P ﹤ 0. 05). Conclusions The missed diagnosis rate of occult lung cancer by X-ray is high. For patients with suspec-ted occult lung cancer,CT scan is necessary to early detection of occult lung cancer,further define the disease,and take targeted treatment.