on general radiology work misdiagnosis of thinking causes and preventive measures（一般放射工作思考的误诊原因和预防措施）.docVIP

On general radiology work misdiagnosis of thinking causes and preventive measures General radiology work Misdiagnosis occurred in the case of more, especially in the absence of digital devices, X-ray equipment are generally backward, we have a relatively deep experience, some experience is worth thinking about. Randomly selected subjects in 1997 May - May 2007 10 years, ordinary X-ray film and its accompanying application form, report card 100, the follow-up and compared before and after the film, 100 extract data, the misdiagnosis rate of 12% misdiagnosis rate of 8%. Class film was only 30% (experienced physicians and technicians comprehensive evaluation in which clinicians provide clinical data simple, incomplete projects, 45%; diagnostic radiology physicians report describes a simple, content is not fully accounted for 30%; shall provide recommendations 20% did not author; not appropriate recommendations accounted for 15%. Based on the above data, combined with the work reported in the literature and experience, are summarized below. A misdiagnosis of the cause 1.1 Clinicians (1 objective, limited to the limited level of knowledge tied, there is no need to check the site to provide real and missed, such as: When the patient complained of hip or knee joint discomfort, joint disease that is identified as such, but think of the femoral nerve, anatomical distribution of the obturator nerve [1], in its involvement, the site can also be symptoms. Song Court, Zheng Baosen and so on: lumbar disc disease, spinal tuberculosis, cancer, also can cause hip, knee discomfort [2,3 ] (2 subjective aspects, such as no detailed history taking, physical examination is not careful, can not be exact to the radiology department to provide the necessary clinical data, combined with the special-ray projection, marginal parts of the X-ray image, because tilting projection , can be distorted according to the body [4]. 1.2 in patients with less adequate preparation befor