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为了探讨分析骨肿瘤误诊原因,对昆明医学院第三附属医院骨科1998-2008收治的30例骨肿瘤误诊病例进行回顾性研究,分析其临床表现、入院诊断(外院诊断及门诊诊断)、影像学表现及手术前后病理诊断。30例误诊患者经纠正诊断后行手术16例(保肢11例,截肢5例),化疗8例,放疗3例,死亡1例。统计3年结果,生存率为80.0%(24/30),病残率为26.7%(8/30),死亡率为20%(6/30)。初步研究结果提示,正确认识病理检查对骨肿瘤诊断的重要性,掌握骨肿瘤影像学规律和特征,树立循证医学观念,可以避免和减少临床误诊。
To investigate the causes of misdiagnosis of bone tumors, 30 patients with misdiagnosed bone tumors admitted to the Department of Orthopedics, the Third Affiliated Hospital of Kunming Medical College were retrospectively analyzed. The clinical manifestations, admission diagnosis (outpatient and outpatient diagnosis), imaging Performance and pathological diagnosis before and after surgery. Twenty-six patients (11 limb salvage and 5 amputation limbs) underwent surgery after correction in 30 cases of misdiagnosis, 8 cases of chemotherapy, 3 cases of radiotherapy and 1 case of death. Statistics 3-year results, the survival rate was 80.0% (24/30), the morbidity was 26.7% (8/30), the mortality rate was 20% (6/30). Preliminary results suggest that the correct understanding of the importance of pathological examination of the diagnosis of bone tumors, bone tumor imaging rules and characteristics to master the concept of evidence-based medicine, to avoid and reduce clinical misdiagnosis.