尿石症诊断容易已被公认,误诊分析屡见报道,但误诊率并未减少。我院自1982年元月～1987年6月共收治尿石症住院病人334例,其中误诊41例,占12.27％。兹就误诊问题进行分析。临床资料41例中,男25例,女16例。年龄最小5岁,最大70岁。误诊时间6小时～14年不等。误诊病种:肾盂肾炎23例(不包括取石术后症状不消失者)、肾炎4例、腰肌劳损4例、腹膜后淋巴结钙化1例、溃疡病穿孔1例、腹膜炎1例、阑尾炎1例、前列腺增生症1例、腹部肿块3例、口腔粘膜扁平苔癣1例、尿路多发结石诊断不全1例。误诊病例中确诊为 Easy to diagnose urolithiasis has been recognized, misdiagnosis analysis is often reported, but the misdiagnosis rate did not decrease. Our hospital from January 1982 to June 1987 were admitted to patients with urolithiasis in 334 cases, of which 41 cases were misdiagnosed, accounting for 12.27%. Misdiagnosis questions are analyzed. Clinical data of 41 cases, 25 males and 16 females. The youngest 5 years old, maximum 70 years old. Misdiagnosis time 6 hours ~ 14 years. Misdiagnosis: pyelonephritis in 23 cases (not including the symptoms disappeared after stone surgery), 4 cases of nephritis, lumbar muscle strain in 4 cases, 1 case of retroperitoneal lymph node calcification, ulcer disease in 1 case, peritonitis in 1 case, appendicitis in 1 case , 1 case of benign prostatic hyperplasia, 3 cases of abdominal mass, 1 case of oral mucosal lichen planus, and 1 case of multiple urinary tract stones. Misdiagnosed cases confirmed