恶性肿瘤引起颈肩腰腿痛误诊4例原因探析

目的:分析探讨恶性肿瘤的误诊原因,提高恶性肿瘤引起颈肩腰腿痛的认识。方法:回顾性分析收治的颈肩腰腿痛患者197例中,后期确诊的4例恶性肿瘤的临床资料。结果:4例误诊为颈肩腰腿痛患者中,直肠癌1例,白血病1例,前列腺癌1例,肺癌1例。结论:对恶性肿瘤引起颈肩腰腿痛的表现缺乏认识和诊治经验不足,以及盲目相信上级医院的诊断,是基层医院医师对恶性肿瘤误诊误治的主要原因。

Objective：To analyze the causes of misdiagnosis of cancer, increase awareness of low back pain neck malignancy. Methods ： A retrospective analysis of our hospital,197 patients with low back pain in the neck, later confirmed four cases of malignant tumors of the clinical data. Results：4 cases were misdiagnosed as neck and low back pain patients,rectal cancer, 1 case of leukemia in 1 case, 1 case of prostate cancer,lung cancer in 1 case. Conclusion：The perform- ance of low back pain neck malignancy lack of awareness and lack of diagnosis and treat- ment,as well as blind faith in a higher level hospital diagnosis, is the primary hospital physicians on the main malignant tumor misdiagnosis.