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弥漫性特发性骨肥厚误诊一例报告并文献复习 被引量:1

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摘要 目的探讨弥漫性特发性骨肥厚(diffuse idiopathic skeletal hyperostosis,DISH)的临床特点,分析其误诊原因并提出防范措施。方法对曾多次误诊的DISH 1例的临床资料进行回顾性分析。结果本例因颈部不适伴轻度呼吸及吞咽困难5年余,加重1年入院。曾多次于外院就诊行颈椎CT、MRI及胸椎CT等影像学检查,诊断为食管型颈椎病、强直性脊柱炎、SAPHO综合征等,经非甾体抗炎药等保守治疗后症状进行性加重。入我院后经查体、实验室及全脊柱X线、CT、MRI等检查并请耳鼻喉科和胸外科医师会诊确诊DISH。后于全身麻醉下行颈2~颈7椎前路骨赘切除术。术后颈椎X线检查显示颈椎(颈2~颈7)前方大量骨赘已切除。术后随访3个月,患者吞咽困难和呼吸困难症状均明显好转。结论 DISH在我国诊治率较低,多数临床医师对其认识及诊治经验不足,易误诊。提高临床医师对该病认识,临床遇及类似本文患者时,应及时完善相关检查,并结合患者病史、临床表现及相关医技检查结果综合全面对病情进行分析,以减少或避免DISH误诊误治。
出处 《临床误诊误治》 2017年第8期31-33,共3页 Clinical Misdiagnosis & Mistherapy
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