儿童脊柱肿瘤就诊及诊断延误相关影响因素分析

发布时间：2018-06-02 03:33

本文选题：儿童 + 脊柱肿瘤　；参考：《中国脊柱脊髓杂志》2017年09期

【摘要】：目的 :探讨儿童脊柱肿瘤患者就诊、诊断延误情况的相关影响因素。方法 :回顾性分析2007年1月~2017年1月就诊于我科的16岁以下脊柱肿瘤患者,收集其临床病例资料,记录患者性别、年龄、肿瘤侵袭性、病变节段、居住地、是否为独生子女、首次就诊医院的级别、是否受到错误诊断8个可能对就诊延误及诊断延误有影响的因素。采用单因素分析及多因素Logistic回归分析研究以上影响因素与就诊延误、诊断延误的关系。结果:共51例患儿纳入本研究,男28例,女23例,平均年龄9.5±4.1岁,就诊间期:1.3,(0~24)个月,就诊延误率为39.2%;诊断间期:1.0,(0~12)个月,诊断延误率为51.0%。单因素分析结果显示,发病年龄、病变部位和患儿居住地与延误就诊显著相关(P0.05),首诊医院级别、患儿居住地与延误诊断显著相关(P0.05)。多因素logistic回归结果显示,大龄患儿、病变位于腰骶椎为就诊延误的独立危险因素(P0.05),首诊医院级别为二级以下、患儿居于农村为诊断延误的独立危险因素(P0.05)。结论:大龄儿童、病变位于腰、骶椎患儿更易延误就诊;居住于农村、首诊为二级以下医院的患儿更易延误诊断。
[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.
【作者单位】：第四军医大学附属西京医院骨肿瘤科;
【分类号】：R738.1

【相似文献】