胃底贲门癌X射线检查诊断漏诊原因及管理对策分析

发布时间：2018-01-16 17:43

本文关键词：胃底贲门癌X射线检查诊断漏诊原因及管理对策分析　出处：《世界最新医学信息文摘》2016年59期 　论文类型：期刊论文

【摘要】：目的探讨胃底贲门癌采用X射线检查诊断的漏诊原因及管理对策。方法选取在本院进行X射线检查诊断的胃底贲门癌患者作为研究对象,收集资料并分析诊断漏诊原因,于2015年1月至6月根据诊断漏诊原因分析结果实施相应管理措施,并将2014年7月至12月时段实施管理前作为对照,观察比较管理前、后诊断结果的差异。结果漏诊原因包括钡剂使用不合理等因素,管理后诊断漏诊率明显低于管理前,管理后诊断检出率明显高于管理前(P0.05)。结论胃底贲门癌X射线检查诊断漏诊原因较多,注重观察X线征象并采取相应管理措施可显著提高诊断准确性。
[Abstract]:Objective to investigate the causes of missed diagnosis of gastric fundus and cardia carcinoma by X-ray examination and the management countermeasures. Methods the patients with gastric fundus and cardia carcinoma diagnosed by X-ray examination in our hospital were selected as the research objects. The data were collected and the causes of missed diagnosis were analyzed, and the corresponding management measures were implemented from January 2015 to June according to the results of the analysis of the causes of missed diagnosis. And the period from July 2014 to December before the implementation of management as a control, to compare the difference in the results of diagnosis before and after management. Results the causes of missed diagnosis include unreasonable use of barium and other factors. The rate of missed diagnosis after management was significantly lower than that before management, and the rate of diagnosis after management was significantly higher than that before management (P 0.05). Conclusion there are many reasons for missed diagnosis of gastric fundus carcinoma by X-ray examination. Paying attention to X-ray signs and taking corresponding management measures can significantly improve the diagnostic accuracy.
【作者单位】：吉林省公主岭市中心医院;
【分类号】：R735.2;R730.44
【正文快照】： 0引言胃底贲门癌是临床常见的消化道恶性肿瘤之一[1],X射线检查是临床诊断的首选方法,大部分患者均可通过X射线检查明确诊断出病变情况。但有报道显示[2],由于胃底贲门癌解剖位置与生理机制均存在特殊性,从而导致部分患者虽然经X射线检查,但仍然存在误诊或漏诊的现象,成为早期

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