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目的总结7例不同程度误诊的胸椎转移性肿瘤临床资料,分析误诊原因及预防对策。方法回顾分析早期误诊的7例胸椎转移性肿瘤临床特点、诊治经过及影像资料。结果7例误诊2~6个月,分别误诊为骨质疏松病理骨折、TB、外伤骨折、躯体性疼痛、心脏病或原因不明。结论骨科医师的高度警惕、重视胸椎转移性肿瘤早期临床特征、仔细分析影像资料,是防止误诊的关键。
Objective To summarize the clinical data of 7 cases of misdiagnosis of thoracic metastatic tumors in different degrees, analyze the causes of misdiagnosis and the prevention measures. Methods We retrospectively analyzed the clinical features, diagnosis and treatment history and imaging data of 7 cases of misdiagnosis of thoracic vertebrae. Results 7 cases were misdiagnosed for 2 to 6 months. They were misdiagnosed as osteoporotic pathological fractures, TB, traumatic fractures, somatic pain, heart disease, or unknown causes. Conclusion Orthopaedic surgeons are highly vigilant, attach importance to the early clinical features of metastatic thoracic tumors, and carefully analyze the image data, which is the key to prevent misdiagnosis.