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目的分析腰脊髓瘤误诊为腰椎间盘突出症的原因。方法对6例误诊为腰椎间盘突出症的病历回顾分析。结果误诊原因在于:(1)两者有着相似的症状和体征,症状叠加是漏诊的主要原因。(2)病史采集不够详细,查体不够全面,临床医生考虑问题过于局限。(3)较小瘤体,CT平扫容易漏诊。结论不要忽视必要的特殊物理检查和症状特点追踪,重视病史采集,明确两者的鉴别诊断,提高理论知识和全面的综合判断能力。
Objective To analyze the causes of misdiagnosis of lumbar myeloma as lumbar disc herniation. Methods Six cases of misdiagnosed as lumbar disc herniation were analyzed retrospectively. The causes of misdiagnosis were as follows: (1) Both had similar symptoms and signs, and superposition of symptoms was the main reason for missed diagnosis. (2) the history of the acquisition is not detailed enough, physical examination is not comprehensive enough, clinicians consider the problem is too limited. (3) smaller tumors, CT scan easily missed. Conclusion Do not ignore the necessary special physical examination and follow-up of symptoms, pay attention to the history of the acquisition, a clear distinction between the two diagnosis, improve theoretical knowledge and comprehensive ability to judge.