摘要
目的提示分析骨质疏松诊断中常见漏诊、误诊原因。方法回顾性检索二年来在我院行双能X线骨密度检测的1825例患者中常见漏诊、误诊原因。结果常见漏诊、误诊原因有1、诊断标准不同;2、分析部位不够;3、伪影;4、腰椎压缩性骨折、股骨头坏死塌陷、严重的腰椎退行性变;5、青年患者;6、技术员操作有误;7、骨肿瘤等七项。结论双能X线骨密检测仪检测结果是骨质疏松诊断的"金标准",但临床实际工作中仍然存在很多导致漏诊、误诊的原因,临床医师不能只依靠骨密度检测结果来诊断骨质疏松,要充分了解常见漏诊、误诊原因,以提高骨质疏松诊断的准确率。
Objective To analysis the common causes of the missed diagnosis and misdiagnosis for osteoporosis.Methods The common causes of the missed diagnosis and misdiagnosis of 1825 osteoporosis patients measured with dual energy X absorptiometry was retrospectively searched in the recent two years.Results The common causes of the missed diagnosis and misdiagnosis for osteoporosis included： 1） different diagnostic standard;2） not enough analysis locations;3） false image;4） vertebral compressive fracture,femoral head necrosis,and severe vertebral degeneration;5） youth patients;6） the wrong operation of technician;and 7） bone tumor.Conclusion BMD is the gold diagnostic standard for osteoporosis.However,there are many causes of the missed diagnosis and misdiagnosis for osteoporosis in clinic.The clinicians cannot diagnosis osteoporosis only relying on the result of BMD.They should have enough acknowledge the common causes of missed diagnosis and misdiagnosis for osteoporosis,in order to improve the accurate rate of the diagnosis of osteoporosis.
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2012年第3期240-244,共5页
Chinese Journal of Osteoporosis
关键词
骨质疏松
漏诊、误诊
常见原因
Osteoporosis
Missed diagnosis
Misdiagnosis
Common causes
