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现将我院1980～1991年收治的80例强直性脊椎炎进行回顾性分析,以探索强直性脊椎炎误诊的原因。一、临床资料1.一般资料:男性77例,女性3例;12～20岁10例,21～30岁50例,31～40岁14例,40岁以上6例。病程最短5个月,最长27年。80例中初诊为强直性脊椎炎者仅32例,误诊为其他疾病48例;其中误诊为类风湿性关节炎22例,风湿性关节炎12例,肥大性脊椎炎6例,腰椎间盘病变4例,腰椎骶化、胸椎结核各2例,误诊率为60%。
80 cases of ankylosing spondylitis in our hospital from 1980 to 1991 are retrospectively analyzed to explore the causes of misdiagnosis of ankylosing spondylitis. First, the clinical data 1. General information: 77 males and 3 females; 10 cases of 12 to 20 years old, 50 cases of 21 to 30 years old, 14 cases of 31 to 40 years old, 6 cases over the age of 40. The shortest course of 5 months, the longest 27 years. Of the 80 cases newly diagnosed as ankylosing spondylitis, only 32 cases were misdiagnosed as other diseases, 48 cases were misdiagnosed as rheumatoid arthritis in 22 cases, rheumatoid arthritis in 12 cases, hypertrophic spondylitis in 6 cases, lumbar disc disease in 4 cases Cases, lumbar sacralization, thoracic tuberculosis in 2 cases, the misdiagnosis rate was 60%.