肋骨骨折X线漏诊原因分析

Analysis of the causes of missed diagnosis of rib fracture in X-ray

目的：探讨肋骨骨折临床X线检查漏诊的原因及对策，提高肋骨骨折X线平片的检出率。方法回顾性分析本院2010年1月~2013年12月460例肋骨骨折患者的临床资料。结果患者入院后首次X线平片检查未发现肋骨骨折32例，占总病例的6.95％。结论 X线平片是诊断肋骨骨折最直接、简便的方法，选择适当的体位、确定准确的检查部位及适当的投照条件是减少误诊和漏诊的关键。

Objective To explore the causes and countermeasures of clinical X-ray missed diagnosis of rib fracture of rib fracture, improve the detection rate of X-ray plain film. Methods Retrospective analysis in our hospital from 2010 January to 2013 December 460 cases of rib fractures in patients with clinical data. Results Patients admitted for the first time after X-ray plain film eXamination found no rib fracture in 32 cases, accounted for 6.95%of the total cases. Conclusion X-ray plain film is the most direct method, the diagnosis of rib simple fracture, choose proper posture, determine the inspection site is accurate and appropriate projection condition is the key to reduce misdiagnosis and missed diagnosis.