CAJ | 학술논문

目的分析腰椎管肿瘤误诊为腰椎间盘突出症的原因,减少误诊发生.方法对1997年2月～2007年11月我们收治误诊为腰椎间盘突出症的腰椎管肿瘤的20例进行回顾分析,分析二者之间的症状、体征和影像学资料等.结果本组患者全部误诊,误诊时间为0.5～10年,平均6.5年.20例均曾行CT检查,3例曾行MRl检查,均报告为腰椎间盘突出症,并按椎间盘突出症治疗,效果不佳,而后经仔细询问病史,全面体格检查,针对怀疑部位行MRI检查,诊断为腰椎管肿瘤,并经手术及病理检查证实.结论腰椎管肿瘤易误诊为腰椎间盘突出症,病史询问不仔细,查体不全面,过分依赖影像检查,对某些体征以及影像检查征像认识不清等是引起误诊的原因.
목적 분석요추관종류오진위요추간반돌출증적원인,감소오진발생.방법 대1997년2월～2007년11월아문수치오진위요추간반돌출증적요추관종류적20례진행회고분석,분석이자지간적증상、체정화영상학자료등.결과 본조환자전부오진,오진시간위0.5～10년,평균6.5년.20례균증행CT검사,3례증행MRl검사,균보고위요추간반돌출증,병안추간반돌출증치료,효과불가,이후경자세순문병사,전면체격검사,침대부의부위행MRI검사,진단위요추관종류,병경수술급병리검사증실.결론 요추관종류역오진위요추간반돌출증,병사순문불자세,사체불전면,과분의뢰영상검사,대모사체정이급영상검사정상인식불청등시인기오진적원인.
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.