| 股骨头坏死误诊为腰椎间盘突出症原因分析 |
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投稿时间：2001-07-07
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| 期刊信息：《中国骨伤》2002年，第15卷，第3期，第129-131页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:分析股骨头坏死误诊为腰椎间盘突出症的原因。
方法:收集和诊查有明确误诊为腰椎间盘突出症经历并有腰部CT或MRI检查的患者27例。
结果:股骨头坏死误诊为腰椎间盘突出症24例,并发腰椎间盘突出症漏诊股骨头坏死3例,再次评价其腰部CT、MRI检查资料,存在腰椎间盘退变26例;腰椎间盘突出24例;腰椎体骨坏死2例。
结论:临床病史资料了解不详,对类似症状未进行必要的鉴别,忽视临床查体,依赖CT、MRI检查结论,是误诊的关键因素;提出股骨头坏死与其并发的腰椎间盘退变和突出可能存在病理相关性,是误诊的内在因素。 |
| 【关键词】股骨头坏死 椎间盘移位 误诊 |
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| The cause of misdiagnosis of osteonecrosis of the femoral head for lumbar intervertebral disc protrusion disease |
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ABSTRACT
Objective:To analyze the cause of misdiagnosis of osteonecrosis of femoral head (ONFH) for lumbar intervertebral disc protrusion disease(LIDPD)
Methods:The history records of 27 patients with misdiagnosis of LIDPD examined with magnetic resonance imaging(MRI) or copmputer assisted tomograhpy(CT) of the lumbar spine were analyzed.
Results:24 patients with ONFH were mistaken for LIDPD;3 patients with LIDPD on top of ONFH failed to have the correct diagnose of ONFH.The imaging data of CT or MRI were reviewed for a second time;There were 26 patients with lumbar intervertebral disk degeneration;24 patients with lumbar intervertebral disc protursion;2 patients with osteonecrosis of lumbar vertebral body.
Conclusion:A frequent cause of misdiagnosis is the negligence of detailed analysis of the patient′s history;differential analysis of similar clinical symptoms is also important.The establishment of the diagnosis solely depending upon the conclusion of CT or MRI examination is not always reliable.The suggestion that a possible correlation in pathophiology exists in between lumbar intervertebral disc protrusion and ONFH is another factor of misdiagnosis.. |
| KEY WORDS Femur head necrosis Intervertebral disk displacement Diagnostic errors |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘少军,何伟,王海彬.股骨头坏死误诊为腰椎间盘突出症原因分析[J].中国骨伤,2002,15(3):129~131 |
| 英文格式: | LIU Shao jun,HE Wei,WANG Hai bin.The cause of misdiagnosis of osteonecrosis of the femoral head for lumbar intervertebral disc protrusion disease[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(3):129~131 |
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