临床误诊误治2012，Vol.25Issue(6)：16-18,3.DOI:10.3969/j.issn.1002-3429.2012.06.008
强直性脊柱炎63例误诊漏诊分析
Misdiagnosis Analysis of 63 Patients with Ankylosing Spondylitis
摘要
Abstract
Objective To discuss the misdiagnosis cause of ankylosing spondylitis (AS) so as to improve the early diagnosis rate. Methods Clinical data of 63 patients misdiagnosed as having ankylosing spondylitis in our hospital during April 2007 and July 2011 were rereospectively analyzed. Results 121 patients with AS were admitted to our hospital, among whom, 63 patients were misdiagnosed in our hospital and other hospitals, and the misdiagnosis rate was 52. 1 % - In this group, due to lumbosacral region pain, 16 patients were misdiagnoaed as having lubar intervertebral disc protrusion and 8 patients, lumbar muscle strain; Due to limbs peripheral joint swelling, 14 patients were misdiagnosed as having rheumatic arthritis, 7 patients were misdiagnosed as having polyarthritis destruens, achilles tendinitis in 6 patients, 4 patients were misdiagnosed as having cal-caneal spurs and suppurative arthritis in 2 patients; Lritis was diagnosed as simple iritis in one patient; 5 patients had no definite diagnosis. Conclusion It is important to fully understand AS and to ask medical history and family history in details. Physical examinations and the sacroiliac joint CT scanning and HIA-B27 testing are essential in early diagnosis and reducing misdiagnosis rate of AS.关键词
脊柱炎,强直性/误诊/椎间盘移位/关节炎,类风湿Key words
Spondylitis, rigidity/ Diagnostic error/ Displacement of intervertebral disc/ Arthritis, infectious pseudo-rheumatism分类
医药卫生引用本文复制引用
曹彦飞,赵宏敏,王勇..强直性脊柱炎63例误诊漏诊分析[J].临床误诊误治,2012,25(6):16-18,3.基金项目
国家自然科学基金面上项目(30973827) （30973827）
