腰骶椎转移癌误疹为腰椎间盘突出症的原因分析

目的 探讨分析腰骶椎转移癌与腰椎间盘突出症鉴别诊断要点。方法 对5例初诊为腰椎间盘突出症，最后确诊为腰骶椎转移癌的患进行分析。找出误诊原因。结果 本组病例误诊率为2．87％（5／174），5例均在入院后确诊，4例获随访3例在4－8个月后死亡，结论 正确诊断强调病史，体征和影像学检查三结合，对怀疑为腰骶椎转移癌应进行MRI检查，以明确诊断。

Analyzing of the Causes of Misdiagnosing Lumbar and Scarum Metastatic Carcinoma as Prolapse of Lumbar Intervertrbral Disc

Objective To explore and analysis the key points of differential diagnosis between Lumbar sacrum Metastatic Carcionma and Prolapse of Lumbar Intervertebral Disc(PLID).Methods Find the reasons for the misdiagnosis through analyzed 5 cases of Lumbar and sacrum Metastatic Carcinoma,which were misdiagnosed as Prolapse of Lumbar Intervertebral Disc initially.Results The misdiagnosis rate in our cases is 2.87%(5/174),all of them were diagnosed definitely after they were hospitalized.4 among them had been followed up after the operation,3 patients were died in 4 to 8 months.Conclusions Correct diagnosis is depended on the combination of clinical preentation,examination and photography,To confirm the diagnosis,MRI must be done to those patients who are suspected to suffer from Lumbar and sacrum Metastatic Carcinoma.