摘要
目的分析涎石病及下颌下腺炎的误诊及漏诊原因,提高临床诊断水平。方法回顾分析收治的108例下颌下腺结石误诊病例的临床资料。结果 53例患者在诊疗过程中被误诊及漏诊,发生率为49%;其中除1例外,其余52例首诊均就诊于2级及2级以下医院;31例患者症状不典型,占59.5%;诊断为颌下腺炎而漏诊颌下腺结石的35例,其余18例误诊为其他疾病;32例患者未采用任何影像学检查;50例患者首诊后采用口服及静脉给予抗生素治疗,其余3例首诊后未行任何治疗。结论基层医院缺少口腔颌面外科设置、基层医生对该病的认识不足是造成涎石病及下颌下腺炎漏诊及误诊的主要原因。
Objective To analyze the causes of misdiagnosis and missed diagnosis for sialolithiasis and sialadenitis of subman- dibular gland and thus improve the clinical diagnostic level. Methods The clinical data of 108 cases with submandibular gland calculus admitted were retrospectively analyzed. Results 53 cases were misdiagnosed or missed diagnosis （49%）. The 52 cases were initially di- agnosed in level Ⅱ or the below hospitals except one case. 31 cases were lack of typical symptoms （59.5%）. 35 cases were diagnosed as sialadenitis of submandibular gland and missed the diagnosis of submandibular gland calculus, while the rest 18 cases were misdiagnosed with other diseases. 32 cases received none of any imaging tests. 50 cases were orally and intravenously given antibiotics after initial diag- nosis,while the rest 3 cases received no any treatment. Conclusion The major causes of misdiagnosis and missed diagnosis of sialolithi- asis and sialadenitis in submandibular gland are the absence of oral and maxillofacial surgery in primary hospitals, as well as lack of rec- ognition of this disease among primary physicians.
出处
《宁夏医学杂志》
CAS
2016年第1期47-49,共3页
Ningxia Medical Journal
关键词
下颌下腺
涎石病
误诊
漏诊
Submandibular gland
Sialolithiasis
Missed diagnosis
Misdiagnosis
