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非典型脊柱结核误诊脊柱肿瘤19例术后分析
引用本文:盛伟,杨大志,代立武,叶哲伟,杨汉明,闫勇. 非典型脊柱结核误诊脊柱肿瘤19例术后分析[J]. 中国骨肿瘤骨病, 2004, 3(6): 349-351
作者姓名:盛伟  杨大志  代立武  叶哲伟  杨汉明  闫勇
作者单位:1. 435000,黄石市矿务局医院骨科
2. 华中科技大学同济医学院附属协和医院骨科
3. 湖北孝感市第一人民医院骨科
摘    要:目的探讨非典型脊柱结核误诊脊柱肿瘤的原因.方法对误诊脊柱肿瘤的19例非典型脊柱结核患者的临床表现,病史采集,影像学及实验室检查特点进行回顾性分析.结果由于本组病例临床表现的不典型,采集病史的不详细,对影像学检查的误区及实验室检查的非特异性,使本组19例非典型脊柱结核患者误诊为脊柱肿瘤.结论只有正确认识非典型脊柱结核的临床表现,认真仔细的采集病史,提高自身对影像学知识的学习,充分了解非典型脊柱结核实验室检查的特点,才能减少误诊的发生.

关 键 词:骨结核  脊柱  误诊
修稿时间:2003-11-28

A analysis of misdiagnosis of atypical spinal tuberculosis as spinal tumour - a report of 19 cases
SHENG Wei,YANG Dazhi,DAI Liwu,et al.. A analysis of misdiagnosis of atypical spinal tuberculosis as spinal tumour - a report of 19 cases[J]. Chinse Journal Of Bone Tumor And Bone Disease, 2004, 3(6): 349-351
Authors:SHENG Wei  YANG Dazhi  DAI Liwu  et al.
Affiliation:SHENG Wei,YANG Dazhi,DAI Liwu,et al.Department of Orthopedics,Huangshi Mining Administration Hospital,Huangshi 435000,China
Abstract:Objective To analysis the reason of misdiagnosis of atypical spinal tuberculosis as spinal tumour.Methods Nineteen cases that misdiagnosed the atypical spinal tuberculosis as the spinal tumour were reviewed.The content of reviewed involved clinical appearance,history inquiring,features of radiographic and laboratory findings.Results Atypical clinical appearance,partial history inquiring,lacking of idiosyncrasy in radiographic and laboratory findings were the reasons of misdiagnosis in this series.Conclusion It is emphasized that clear cognizing the clinical appearance of typical spinal tuberculosis,careful inquiring medical history and studying the knowledge of radiographic and laboratory features of spinal tuberculosis are beneficial to reduce misdiagnosis of this disease.
Keywords:Spinal tuberculosis  Spine  Misdiagnosis
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