布氏杆菌性脊柱炎误诊脊柱结核12例

Analysis of 12 cases of brucellosis spondylitis misdiagnosed as spinal tuberculosis

目的探讨12例布氏杆菌性脊柱炎误诊为脊柱结核的原因,提高对两种疾病的认识,降低误诊率.方法回顾本院12例误诊病例资料,并进行临床、实验室检查及影像学表现的综合分析.结果12例误诊病例均因对布氏杆菌性脊柱炎影像表现认识不足,没有全面分析临床、病史、实验室检查及流行病学而误诊.经详细询问病史,并结合流行病学、实验室及影像学检查而纠正.结论临床医师在疑难病症不能确诊时,在结合实验室与影像科客观数据分析的同时,应密切结合流行病学、临床症状进行综合分析,降低疾病误诊率.

Objective To explore the causes of 12 cases of brucellosis spondylitis misdiagnosed as spinal tuberculosis,improve the understanding of two diseases and reduce the misdiagnosis rate.Methods The data of 12 misdiagnosed cases in our hospital were reviewed,and clinical laboratory examinations and imaging findings were analyzed comprehensively.Results All of the 12 misdiagnosis cases were caused by the lack of knowledge of the imaging manifestations of brucellosis and the lack of complete analysis of the clinical,medical history,laboratory tests and epidemiology.They were eventually corrected by more detailed medical history and more comprehensive laboratory examination and pathological examination.Conclusion When the clinicians cannot make a definite diagnosis,they should com bine objective data from laboratory and imaging department, meanw hile,closely combine epidemiology,clinical symptoms to conduct a comprehensive analysis,to reduce the rate of misdiagnosis of diseases.