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尿路结石是外科常见病,诊断多无困难,但临床上有不少病例由于各种原因仍可误诊、漏诊延误治疗,导致严重后果,本文综合10个单位1907例尿路结石患者中257例误诊病例的资料进行分析,10单位中尿石症误诊率最低者为6.5％(13/200)最高者为14.3％(145/1012),平均为257/1907(13.48％)。在误诊病例中,95％以上是将尿石症误诊为其他疾病,而将其他疾患(非尿石症患者)误诊为尿石症者则不到5％。误诊病例归纳如下:肾盂肾炎58例。膀胱炎6例,肾结核25例,肾炎22例,多囊肾4例,肾膀胱肿瘤9例,肾周围炎及前列腺肥大各2例,阑尾炎69
Urinary tract stones are common surgical diseases, diagnosis and more without difficulty, but many clinical cases for various reasons can still be misdiagnosed, missed diagnosis and delay treatment, leading to serious consequences, the 10 units 1907 cases of urinary tract stones in patients with 257 cases Data from misdiagnosed cases were analyzed. The lowest misdiagnosis rate of 10 urolithiasis was 6.5% (13/200), the highest was 14.3% (145/1012), with an average of 257/1907 (13.48%). More than 95% of the misdiagnosed cases misdiagnose urolithiasis as other diseases, while less than 5% misdiagnose other diseases (non-urolithiasis) as urolithiasis. Misdiagnosed cases are summarized as follows: 58 cases of pyelonephritis. 6 cases of cystitis, 25 cases of renal tuberculosis, 22 cases of nephritis, 4 cases of polycystic kidney disease, 9 cases of renal cancer, perirenal inflammation and prostatic hypertrophy in 2 cases, appendicitis 69