多发性骨髓瘤15例延误诊断分析

目的 探讨多发性骨髓瘤误诊原因，以降低其误诊率。方法 采用回顾性调查方法，对我院1997年1月至2006年4月收治的21例多发性骨髓瘤的病历进行复核和统计分析。结果 21例多发性骨髓瘤患者诊断明确的6例，误诊为其他疾病的15例，误诊率为71．4％。结论 分析15例多发性骨髓瘤患者的误诊原因，主要是多发性骨髓瘤元特征性临床表现，且其临床表现具有多样性，和一些常见疾病的临床表现极为相似。

Misdiagnosis analysis of multiple myeloma

Objective The misdiagnosis reasons of multiple myeloma were explored m order to reuuce ,the incidence of misdiagnosis. Methods Medical records of the patients with multiple myeloma in Huainan Xinkang Hospital from 1997 to 2006 were checked retrospectively, and all the records were statistically analyzed. Results Among all the 21 cases with multiple myeloma,only 6 cases were diagnosed correct. And the other 15 cases were diagnosed incorrect with the misdiagnosis incidence of 71.4 %. Conclusion The main misdiagnosis reasons of multiple myeloma were absence of characteristic clinical manifestations, and the manifestations were with variety and similarity to other common diseases.