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颈椎病误诊的Meta分析 被引量:4

The Meta Analysis of Misdiagnosis of Cervical Spondylosis
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摘要 目的:回顾颈椎病误诊为其他疾病的文献,分析误诊误治的原因,为颈椎病的诊断和分型提供临床思路。方法:检索2003年1—12月中文期刊数据库关于颈椎病误诊误治的临床病例报告、文献综述等。统计误诊疾病资料,对数据进行提取分析。结果:冠心病、脑梗死、眩晕症、梅尼埃病是几种主要的易误诊的疾病。脊髓型、椎动脉型和交感型颈椎病是颈椎病中常被误诊为其他疾病的分型。结论:临床医师需加强对颈椎病及其分型的认识和掌握,减少颈椎病误诊的发生,避免给患者造成不必要的痛苦和经济负担。 Objective: To review the cases of cervical spondylosis have been misdiagnosed as other diseases and analyze the causes of misdiagnosis,then provide an clinical thinking for the medical diagnosis and medical classification of cervical spondylosis. Methods: Searched the clinical case reports and reviews of the misdiagnosis of cervical spondylosis had been published during January 2003 to December 2013 from the Chinese Journal Database. Collected and selected the informations of misdiagnosed disease,then analyzed the data which extracted from the selected informations. Results: Coronary heart disease,cerebral infraction, vertigo and Meniere 's disease was the main misdiagnosed diseases of cervical spondylosis. Cervical spondylotic myelopathy,Cervical spondylopathy of vertebral artery,sympathetic cervical spondylosis was the clinical classification of cervical spondylosis often had been misdiagnosed as other diseases. Conclusion: Clinicians have to reinforce learning and understanding of cervical spondylosis and its clinical classification for reduce the incidence of misdiagnosis,avoid the unnecessary suffering and economic burden of patients.
作者 张弘 江园
出处 《现代临床医学》 2015年第5期346-348,共3页 Journal of Modern Clinical Medicine
基金 四川省卫生厅科研项目(130383)
关键词 颈椎病 误诊 META分析 cervical spondylosis misdiagnosis retrospective analysis
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