临床误诊误治2016，Vol.29Issue(11)：30-33,4.DOI:10.3969/j.issn.1002-3429.2016.11.011
股骨颈骨折七例误漏诊原因分析
Causes of Misdiagnosis and Missed Diagnosis in 7 Patients with Femoral Neck Fractures
摘要
Abstract
Objective To investigate clinical features, causes of misdiagnosis and missed diagnosis of femoral neck fractures and prevention measures. Methods Clinical data of 7 patients with femoral neck fractures between October 2013 and October 2015 was retrospectively analyzed. Results The 7 patients visited doctors for hip joint pain caused by traffic ac-cidents, falls, sprain, falls from heights and so on. Two patients were misdiagnosed as having left hip contusion;2 patients were misdiagnosed as having soft tissue contusion;2 patients were diagnosed as having middle left femoral transverse fractures, and femoral neck fractures were missed diagnosised;1 patient was diagnosed as having middle femoral transverse fractures, and femoral neck fractures were missed diagnosised. Misdiagnosis and missed diagnosis time was 2-7 d. Femoral neck frac-tures were confirmed by X ray or CT examination for the 7 patients, and the patients were treated with surgeries by titanium cannulated compression screw. During postoperative 1 year of follow-up, all fractures healed, and the healing time was 3. 0-4. 5 (3. 75 ± 0. 54) months. Harris score of hip joint was performed 1 year after operation, and excellent and good rate of Har-ris score in the 7 patients was 85. 71%. Conclusion Femoral neck fracture is easy to be misdiagnosed or missed diagnosed due to various causes. Patients with continuous hip pain and obvious tenderness without abnormalities by X-ray should be high-ly suspected femoral neck fracture, and CT examination should be performed early to avoid misdiagnosis or missed diagnosis.关键词
股骨颈骨折/误诊/漏诊/挫伤Key words
Femoral neck fracture/Misdiagnosis/Missed diagnosis/Contusion分类
医药卫生引用本文复制引用
阳波,杨静..股骨颈骨折七例误漏诊原因分析[J].临床误诊误治,2016,29(11):30-33,4.基金项目
2012年四川省卫生厅科研课题资助(120026) （120026）
