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[消化道疾病X线诊断中的误诊原因]

[Causes of errors in x-ray diagnosis of diseases of the digestive tract].

作者信息

Tret'iakova T A, Teremetskiĭ L G, Ovchinnikova V I

出版信息

Vestn Khir Im I I Grek. 1975 Sep;114(9):117-22.

PMID:1198790
Abstract

Eighty three cases of an erroneous x-ray diagnosis of diseases of the gastrointestinal tract were analyzed and compared with operative findings (3269) operations. In 75 observations a divergency in diagnoses was related with pathological conditions of the stomach and pancreatoduodenal zone. The greatest number of erroneous diagnoses is due to an improper interpretation of roentgenological symptoms and underestimation of functional signs of the lesion. Errors in the method of roentgenological studies resulted in a wrong diagnosis. There were 8 cases of incorrect diagnosis in tumors of the small and large bowel, 5--in diseases of the operated stomach and 2--in nonepithelial gastric tumors, these were mostly due to objective difficulties of the differential diagnosis and limitations of the roentgenological method of investigation.

摘要

分析了83例胃肠道疾病的X线诊断错误病例,并与3269例手术的手术结果进行了比较。在75例观察中,诊断差异与胃和胰十二指肠区的病理状况有关。错误诊断的最大数量是由于对放射学症状的错误解释和对病变功能体征的低估。放射学研究方法的错误导致了错误的诊断。小肠和大肠肿瘤的错误诊断有8例,手术胃疾病有5例,非上皮性胃肿瘤有2例,这些主要是由于鉴别诊断的客观困难和放射学检查方法的局限性。

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