腰椎间盘突出症误诊31分析  

Analysis of Misdiagnosis of Lumbar Disc Herniation (A Report of 31 Cases)

作　　者：张敏[1] 罗治师[1] 梁胜根[1] 

机构地区：[1]广东省江门市中心医院骨科

出　　处：《颈腰痛杂志》1999年第1期35-36,共2页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的：分析腰椎间盘突出症的误诊原因和疾病。方法：总结１９８６～１９９６年所行腰椎间盘摘除手术６８８例中误诊的３１例的临床、放射学检查和手术资料。结果：误诊率为４５％。以Ｌ５／Ｓ１间隙为多见，共１５例，５８８％。放射学检查则脊髓造影误诊为高，有１３例，１０４％。ＣＴ扫描１５例，３２５％。而误诊的疾病以各种肿瘤为多，１２例，３８７％。其次为神经根管狭窄和椎间软骨结节等。结论：重视临床检查，注意对椎管内软组织团块影的鉴别。Aim:Analysis of misdiagnosis the in diseases of lumbar disc herniation.Methods:summing up data of 31 misdiagnostic cases in 1986-1996.Results:misdiagostic rate was 4.5%.there were 15 cases of misdiagnosis in L 5/S 1 and 12 cases in myelography.misdiagnostic rate was 5.88% and 10.4%.38.7 per cent of the cases was misdiagnosed as tumors.Conclusions:It can reduce the misdiagnosis if pay attention to differential diagnosis of soft tissue mass in spinal canal seriously.

关 键 词：腰椎间盘突出症 诊断 误诊 

分 类 号：R681.530.4[医药卫生—骨科学]