误诊骨与关节结核50例原因分析

An Analysis of Causes of 50 Cases of Misdiagnosis of Bone and Joint Tuberculosis

目的提高临床诊断骨与关节结核的准确率,降低误诊率。方法对本院370例入院诊断为骨与关节结核的病例进行综合分析。结果误诊为骨与关节结核50例,假阳性率14.5%。结论骨与关节结核的诊断需要依靠症状、体征及辅助检查综合判断,最终需要病理诊断确诊。临床表现无特异性及诊断中片面依靠辅助检查是误诊的主要原因。

OBJECTIVE： To increase the accuracy rate of diagnosis of bone and joint tuberculosis and decrease misdiagnosis rate. METHOD An analysis was made with the 370 patients in our hospital diagnosed as bone and joint tuberculosis. RESULT Fifty cases were misdiagnosed, with a false positive rate of 14.5 %. CONCLUSION The diagnosis of bone and joint tuberculosis should be made based on comprehensive information including symptoms, signs and result of examinations. The main cause of misdiagnosis is absence of specific clinical manifestations and relying on ancillary examinations.