论文部分内容阅读
目的分析强直性脊柱炎(AS)延误诊治原因。方法对120例AS患者进行调查,从患者性别、年龄、家族史、发病时症状、误诊科室、诊断及辅助检查等方面分析其与延误诊治的关系。结果 120例患者中,入院前有误诊过程病例104例,误诊率为86.67%,误诊病例均未行骶髂关节X线检查。首诊风湿免疫科病例延误诊断时间短于首诊于非风湿免疫科。行骶髂关节X线平片检查与行CT检查的两组间平均延误诊断时间比较有统计学意义(P<0.05)。结论 AS延误诊治与非风湿免疫科医师对AS的不熟悉致骶髂关节X线资料缺乏有关;CT对AS早期诊断具有重要价值。
Objective To analyze the causes of delayed diagnosis and treatment of ankylosing spondylitis (AS). Methods A total of 120 AS patients were investigated. The relationship between them and the delay in diagnosis and treatment were analyzed from the aspects of patient’s sex, age, family history, symptom at onset, misdiagnosis department, diagnosis and auxiliary examination. Results Among the 120 patients, there were 104 cases of misdiagnosis before admission, the misdiagnosis rate was 86.67%. There was no sacroiliac joint X-ray examination in the misdiagnosed cases. First diagnosis of rheumatology cases delay diagnosis time is shorter than the first diagnosis in non-rheumatic immunology. There was significant difference between the two groups in the mean delay of diagnosis of X-ray plain film and CT (P <0.05). Conclusion The delayed diagnosis and treatment of AS is related to the unfamiliarity of non-rheumatic immunologist with X-ray data of sacroiliac joint. CT is of great value in the early diagnosis of AS.