协和医学杂志Issue(3)：173-178,6.DOI:10.3969/j.issn.1674-9081.2015.03.003
腹腔脏器病变术前经腹超声检查漏诊及误诊原因
Causes of Missed Diagnosis and Misdiagnosis of Abdominal Organ Lesions in Preoperative Transabdominal Ultrasound
刘真真 1牛司华 2王红燕 1杨萌 1张一休 1戴晴 1李建初 1韩洁 1李康宁 1张晓燕 1徐雯1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院超声医学科，北京100730
- 2. 北京大学人民医院超声医学科，北京100044
- 折叠
摘要
Abstract
Objective To analyze the causes of missed diagnosis and misdiagnosis of abdominal organ le -sions through reviewing preoperative transabdominal ultrasound reports .Methods Data of the patients who re-ceived abdominal operation for abdominal organ lesions ( including liver , gallbladder , biliary tract , pancreas , spleen, kidney, adrenal gland, and appendix) in Peking Union Medical College Hospital within the period from March 1 to August 31 in 2013 were exported from pathological workstation .The preoperative ultrasound reports of these patients were reviewed .The missed diagnosis and misdiagnosis cases were recorded , and causes of the mis-takes were analyzed .Results Altogether 58 cases of missed diagnosis or misdiagnosis were identified from 1081 ultrasound reports (5.37%, 58/1081), including 6 liver lesions (5.77%, 6/104, all misdiagnosed), 6 gall-bladder and biliary tract lesions ( 1.30%, 6/462 , 5 missed and 1 misdiagnosed ) , 14 pancreatic lesions (19.72%, 14/71, all missed), 20 kidney and adrenal lesions (6.47%, 20/309, 11 missed and 9 misdiag-nosed), and 12 appendical lesions (16.00%, 12/75, 11 missed and 1 misdiagnosed).The average maximum diameter of the missed nodular lesions was significantly smaller than that of the misdiagnosed lesions ( P =0.001 ) .Conclusions Missed diagnosis and misdiagnosis of ultrasound are attributable to various causes , inclu-ding the nature , location , and size of abdominal organ lesions and the limitation of transabdominal ultrasound technology .The clinical ultrasound examination should be carried out very carefully and thoroughly .Ultrasound radiologists should have a thorough understanding of characteristics of different organ lesions and the limitation of ultrasound technique , in order to avoid missed diagnosis and misdiagnosis in clinical practice .关键词
超声诊断/质量控制/漏诊/误诊Key words
ultrasound diagnosis/quality control/missed diagnosis/misdiagnosis分类
医药卫生引用本文复制引用
刘真真,牛司华,王红燕,杨萌,张一休,戴晴,李建初,韩洁,李康宁,张晓燕,徐雯..腹腔脏器病变术前经腹超声检查漏诊及误诊原因[J].协和医学杂志,2015,(3):173-178,6.
