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泌尿系结石症虽很常见,但多迟延诊断或误诊。欧美文献右输尿管结石误诊为兰尾炎者达20—30%,吴德诚氏报告为25%,张时纯氏为11%。我院自1959—1963年春共诊治泌尿系结石90例;结石位于肾者30例、输尿管39例、膀胱13例、尿道5例、肾及输尿管3例。初诊时未考虑到“结石症”或误诊者(包括外院误诊到我院纠正者)达45.5%(41例)。17例误诊病例在诊治过程中比较曲折,为了吸取经验教训,初步分析出来,以供参考。
Although urolithiasis is common, but delayed diagnosis or misdiagnosis. In the European and American literature, right ureteral calculi were misdiagnosed as 20% to 30% of mantis, Wu’s Cheng reported 25% and Zhang Shizhi was 11%. In our hospital, 90 cases of urolithiasis were diagnosed and treated in the spring of 1959-1963. There were 30 cases of stones located in the kidney, 39 cases of ureter, 13 cases of bladder, 5 cases of urethra, 3 cases of kidney and ureter. Initial diagnosis did not take into account the “stone disease” or misdiagnosis (including outside the hospital misdiagnosed to correction in our hospital) up to 45.5% (41 cases). 17 cases of misdiagnosis in the process of diagnosis and treatment more tortuous, in order to learn from the lessons learned, initially analyzed for reference.