摘要
目的调查不同级别医院不同级别医生对椎体骨质疏松性骨折的诊断率，探讨椎体骨质疏松性骨折的漏诊率原因。方法回顾2000年1月～2007年6月在我院就诊并拍摄脊柱X线片的患者（〉60岁），随机抽取100例患者的正侧位脊柱X平片，随机抽取我院骨科高级、中级、初级职称的医生各两名读取上述所选的脊柱X平片，并记录诊断结果；请放射科高年资医生读取同样的X片，记录诊断结果，以放射科医生读取的结果为标准，分析各级医生对脊柱骨质疏松性骨折的漏诊率。结果高级职称医生的漏诊率为2．7％，中级职称医生的漏诊率为5．1％，初级职称医生的漏诊率为7．9％；不同级别医院同一级别医师的漏诊率分别为：三甲医院漏诊率为3．2％，三乙医院漏诊率为5．7％；二甲医院漏诊率为8．2％，二乙医院漏诊率为10．3％。结论椎体骨质疏松性骨折漏诊率较高，同一医院不同级别医生及不同级别医院同一职称医生对椎体骨质疏松性骨折的诊断率存在明显差异，应在骨质疏松性骨折的防治中引起重视，并早期对其进行治疗。
Objective By investigating and analyzing the diagnosis rate on the osteoporotic fractures of vertebral body diagnosed by doctors of different grades coming from different hospitals, we want to discuss the rate of missed diagnosis to osteoporotic fractures of vertebral body in shanghai. Methods 100 fracture cases（ 〉 60y） treated in our hospital were picked up randomly from 2000.1 to 2007.6, and doctors of different grades coming from different hospitals were asked to analyze it and diagnosis were recorded. Then the difference among these doctors was analyzed. Results Doctors of different grades have different rate of missed diagnosis： the rate from high-rank doctors is 2.7 % , middle-rank doctors is 5.1% , primary-rank doctors is 7.9 % ; the rate of missed diagnosis from the same grade doctors coming from different grade hospitals varies： the rate from high-rank hospital is 3.2%, middle-rank hospital is 8.2 % . Conclusions The rate of missed diagnosis on the osteoporotie fracture of vertebral body is high, and it is different among doctors of different grades, so we should pay more attention to the diagnosis to osteoporotic fracture of vertebral body and treat it as early as possible.
出处
《中国骨质疏松杂志》
CAS
CSCD
2008年第11期767-769,796,共4页
Chinese Journal of Osteoporosis
关键词
椎体压缩性骨折
X线检查
漏诊率
骨质疏松
Compression fracture of vertebral body
The rate of missed diagnosis
Osteoporosis
