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肺部病患,尤其是周围型肺恶性肿瘤的诊断,现时仍然是临床医生常常遇到的困难之一。依靠现行的一般检查方法,门诊肺癌病人的误诊率高达三分之一,术前误诊率达18%。许多病人因未能获得及时诊断而延误手术治疗。为了提高肺癌的早期诊断率,从1982年6月至1983年10月,本院对50例肺疾患病人做了经胸壁肺穿吸细胞学活检。病例选择本组病例行胸壁肺穿吸活检的适应症为(1)胸部“肿块样”病变,经一般常规检查(痰细胞学、胸部放射线和纤维支气
Diagnosis of lung diseases, especially peripheral lung malignancy, is still one of the difficulties that clinicians often encounter. Relying on the current general inspection methods, the misdiagnosis rate of outpatients with lung cancer is as high as one-third, and the preoperative misdiagnosis rate is 18%. Many patients have delayed surgical treatment due to failure to obtain timely diagnosis. In order to improve the early diagnosis rate of lung cancer, from June 1982 to October 1983, the hospital performed transthoracic lung aspiration cytological biopsy on 50 patients with lung disease. Case selection The chest wall lung biopsy for this group of patients was indicated by (1) chest-like “tumor-like” lesions and general routine examinations (sputum cytology, chest radiation, and bronchial bronchitis).