强直性脊柱炎患者误诊的临床探讨

王宋鑫  姚乐阳

（揭西县棉湖华侨医院，广东  揭阳，515438）

中图分类号：R681.57    文献标识码：A    文章编号：1674-7860(2015)27-0121-02    证型：IDG

【摘要】目的：通过对49例强直性脊柱炎（AnkylosingSpondylitis，AS）被误诊者进行分析，探讨强直性脊柱炎患者被误诊的常见原因，减少误诊，减轻减少致残率，减轻患者的痛苦。方法：对2011年9月—2013年9月收治的49例强直性脊柱炎被误诊者进行统计分析，并将其误诊情况进行探讨。结果：误诊为脊柱相关疾病占69.4%；外周关节疾患占10.2%，类风湿占10.2%；其他占10.2%。结论：在强调脊柱发病为主要表现的同时，不能忽略脊柱外的其他临床表现。要充分了解，及早治疗，减少患者痛苦，提高其生活质量。

【关键词】强直性脊柱炎；AS；误诊；探讨

【Abstract】Objective: 49 cases of misdiagnosed patientswith ankylosing spondylitis (Ankylosing Spondylitis, AS) were analyzed toexplore the common causes of misdiagnosis patients with ankylosing spondylitisin order to reduce misdiagnosis, disability rate and the pain of patients.Methods: 49 cases of misdiagnosed patients with ankylosing spondylitis fromSeptember,2011 to September,2013 were selected for statistical analysis,and themisdiagnosis were discussed.Results:Misdiagnosis of spine related diseases wasaccounted for 69.4%; peripheral joint disease was accounted for 10.2%, rheumatoidwas accounted for 10.2%,the other was accounted for 10.2%. Conclusion: in theemphasis for the main performance and spinal disease, the other clinical manifestations  l outside spinal at the same time cannot beignored. It should be fully understood, early treatment must be done to reducethe suffering of patients and the quality of life

【Keywords】Ankylosing spondylitis;AS;Misdiagnosis; Disucssion

doi:10.3969/j.issn.1674-7860.2015.27.059

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