四川医学2009,Vol.30Issue(7):1159-1160,2.
腰椎管肿瘤的误诊分析
Misdiagonisis analysis of tumor in iubar Vertbral canal
董迎春 1唐华 2周绍勇 2李献和 2陈思历 2周锐先3
作者信息
- 1. 成都市龙泉驿区第一人民医院,四川,成都,610100
- 2. 成都现代医院骨科,四川,成都,610041
- 3. 四川大学华西医院神经外科,四川,成都,610041
- 折叠
摘要
Abstract
Objective To reduce misdiagonisis rate through analysis the reason of tumor in vertbral canal diagnosing to lu-bar inervertebral disc protrusion (LIDP). Methods A total of 29 misdiagonised patients were enrolled from Febrary, 1997 to Novermber, 2007,each were retrospectively analyzed of symptoms, physical sign, imaging information. Results All cases were misdiagoniscd from 6 months to 10 years, with a mean time of 6.5 years,all of 20 patients received CT,and 3 received MRI,which were diagnosed to LIDP and assigned treatment,but having no good effect,and the final diagnosis to tumor in vertbral canal through inquiring patient history, complete physical examination (CPX), mading MRI for suspected locus, and verified by operation and patho-scopy. Conclusion The main reason of misdiagonising was uncarefurely inquiring patient history, discomplete CPX, exces-sively depdending on imaging-scopy,unclear recognition with cetyltrimethylammonium bromide(CTAB) and imaging-scopy signe.关键词
腰椎管/肿瘤/误诊Key words
lubar vertbral canal/tumor/misdiagonisis分类
医药卫生引用本文复制引用
董迎春,唐华,周绍勇,李献和,陈思历,周锐先..腰椎管肿瘤的误诊分析[J].四川医学,2009,30(7):1159-1160,2.