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目的 分析慢性炎症性脱髓鞘性多发性神经根神经病 (CIDP)的误诊原因。方法 回顾性分析2 0例早期均被误诊的CIDP患者的临床、脑脊液、电生理及肌活检的资料。结果 本组早期误诊占同期住院CIDP患者的 76 .92 % ,平均误诊时间 1 0个月 ,误诊为脊髓肿瘤、腰椎间盘突出症、中毒性周围神经病各 5例 ,颈椎病 3例和肌病 2例 ;其误诊原因有起病隐袭、症状不典型、查体不全面及缺乏特殊检查等。结论 CIDP早期诊断较难。对可疑CIDP的病例应及时作有关检查 ,全面分析 ,尽早确诊
Objective To analyze the causes of misdiagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP). Methods The clinical, cerebrospinal fluid, electrophysiological and biopsy data of 20 patients with early-stage CIDP who were misdiagnosed were retrospectively analyzed. Results The early misdiagnosis of this group accounted for 76.92% of hospitalized patients with CIDP in the same period, the average misdiagnosis time was 10 months, misdiagnosed as spinal cord tumors, lumbar disc herniation, 5 cases of toxic peripheral neuropathy, 3 cases of cervical spondylosis and myopathy 2 Cases; misdiagnosis of insidious onset of symptoms, atypical symptoms, physical examination is not comprehensive and the lack of special inspection. Conclusion CIDP early diagnosis more difficult. Cases of suspected CIDP should be made in a timely manner for the inspection, a comprehensive analysis, as soon as possible diagnosis