本文選題：兒童 + 脊柱腫瘤　； 參考：《中國脊柱脊髓雜志》2017年09期

【摘要】：目的 :探討兒童脊柱腫瘤患者就診、診斷延誤情況的相關(guān)影響因素。方法 :回顧性分析2007年1月~2017年1月就診于我科的16歲以下脊柱腫瘤患者,收集其臨床病例資料,記錄患者性別、年齡、腫瘤侵襲性、病變節(jié)段、居住地、是否為獨(dú)生子女、首次就診醫(yī)院的級別、是否受到錯(cuò)誤診斷8個(gè)可能對就診延誤及診斷延誤有影響的因素。采用單因素分析及多因素Logistic回歸分析研究以上影響因素與就診延誤、診斷延誤的關(guān)系。結(jié)果:共51例患兒納入本研究,男28例,女23例,平均年齡9.5±4.1歲,就診間期:1.3,(0~24)個(gè)月,就診延誤率為39.2%;診斷間期:1.0,(0~12)個(gè)月,診斷延誤率為51.0%。單因素分析結(jié)果顯示,發(fā)病年齡、病變部位和患兒居住地與延誤就診顯著相關(guān)(P0.05),首診醫(yī)院級別、患兒居住地與延誤診斷顯著相關(guān)(P0.05)。多因素logistic回歸結(jié)果顯示,大齡患兒、病變位于腰骶椎為就診延誤的獨(dú)立危險(xiǎn)因素(P0.05),首診醫(yī)院級別為二級以下、患兒居于農(nóng)村為診斷延誤的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論:大齡兒童、病變位于腰、骶椎患兒更易延誤就診;居住于農(nóng)村、首診為二級以下醫(yī)院的患兒更易延誤診斷。
[Abstract]:Objective: To investigate the related factors of delay in diagnosis and diagnosis of children with spinal tumors. Methods: a retrospective analysis of the patients under 16 years of age in January, ~2017, January 2007, was conducted to collect the clinical data and record the sex, age, tumor invasion, lesion segment, residence, and the first child, first. The level of the secondary hospital was misdiagnosed as 8 possible factors affecting the delay and delay of diagnosis. Single factor analysis and multiple factor Logistic regression analysis were used to study the relationship between the above factors and the delay of treatment and the delay of diagnosis. Results: a total of 51 children were admitted to this study, 28 men and 23 women, with an average age of 9.5 + 4.1. Age, interval time: 1.3, (0~24) months, the rate of delay was 39.2%; diagnosis interval: 1, (0~12) months, and the delay rate of diagnosis was 51.0%. single factor analysis results showed that the age of the disease, the site of the disease and the residence of the children were significantly related to the delay in the treatment (P0.05), the first hospital level, the children's residence was significantly related to the delay diagnosis (P0.05). The multiple factor log Istic regression results showed that the elderly children were independent risk factors (P0.05) in the lumbosacral vertebra, the first hospital level was below grade two, and the children were in the rural area as an independent risk factor (P0.05) for the delay of diagnosis. Conclusion: the elderly children, the lesions located in the waist, and the sacral vertebrae are more likely to be delayed, and the first diagnosis is level two. Children in the hospital are more likely to be delayed in diagnosis.
【作者單位】： 第四軍醫(yī)大學(xué)附屬西京醫(yī)院骨腫瘤科;
【分類號】：R738.1

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本文編號：1967186