慢性腰背疼痛极为常见,尤以体力劳动者多发。其中器质性病变占46%。胸腰椎结核仅占器质性病变的5.9%,常易被医师忽视误诊误治造成严重后果。笔者对1986～1991年的23例脊柱结核入院前误诊误治原因分析如下。一、一般资料本组23例,男11例,女12例;年龄最大61岁,最小13岁,其中21～40岁占72%;体力劳动19人,干部 Chronic low back pain is extremely common, especially in manual workers. Among them organic disease accounts for 46%. Thoracic and lumbar tuberculosis accounted for only 5.9% of organic disease, often easily misdiagnosed as a doctor with serious consequences. The author from 1986 to 1991, 23 cases of spinal tuberculosis misdiagnosis and treatment before admission as follows. First, the general information The group of 23 cases, 11 males and 12 females; the oldest is 61 years old, the youngest 13 years old, of which 21 to 40 years old accounted for 72%; manual labor 19 people, cadres