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目的 :探讨青年肺癌误诊原因及合理的治疗方案。方法 :回顾性分析 118例青年肺癌的临床表现 ,误诊原因及放化综合治疗的疗效。结果 :(1)临床表现不典型 ,认识不足及影像检查不全面是误诊的主要原因。(2 )肺结核 ,肺炎等是青年肺癌的主要误诊疾病。 (3)放化综合治疗 1、2、3年的生存率为 5 9% (70 / 118) ,41.5 % (49/ 118) ,2 5 .4% (30 / 118)。结论 :掌握青年肺癌的临床特点 ,多种影像检查结合及影像诊断与临床结合是减少误诊的主要措施 ;放化综合治疗是治疗误诊青年肺癌的合理方案。
Objective: To investigate the causes of misdiagnosis and reasonable treatment of young lung cancer. Methods: A retrospective analysis of 118 cases of young lung cancer clinical manifestations, causes of misdiagnosis and radiotherapy and curative effect. Results: (1) Atypical clinical manifestations, lack of knowledge and incomplete imaging were the main causes of misdiagnosis. (2) Tuberculosis, pneumonia and other diseases are the main misdiagnosis of young lung cancer. (3) Survival rates of radiotherapy combined with radiotherapy for 1, 2 and 3 years were 59% (70/118), 41.5% (49/118) and 25.4% (30/118). Conclusion: To master the clinical features of young lung cancer, combined with a variety of imaging and imaging diagnosis and clinical combination is the main measure to reduce misdiagnosis; Radiotherapy combined therapy is a reasonable treatment of misdiagnosed young lung cancer.