目的:探讨CT检查在肋骨骨折漏误诊中的原因,并制定有针对性的预防对策,提高临床诊断质量,避免医疗纠纷的发生。方法:于2014~2015年选取该阶段内医院收治的肋骨骨折CT检查漏诊、误诊患者50例作为研究的对象,采取回顾性分析方法,对其临床资料进行回顾性分析,总结发生漏诊、误诊的原因,探讨减少CT漏诊、误诊对策,并对患者进行随访诊断。结果:单纯漏诊25例,单纯误诊20例,漏诊合并误诊5例。导致肋骨骨折CT检查漏诊、误诊的原因主要为伪影、隐匿性骨折、扫描参数设置错误、阅片医师诊断经验不足或阅片不仔细、合并有骨质疏松,分别占38.00%、10.00%、12.00%、14.00%和26.00%。随访发现,50例漏诊、误诊患者再次诊断后均确诊。结论:临床诊断应根据出现漏误诊的原因进行积极防范,以减少漏诊、误诊的发生。 Objective: To explore the causes of misdiagnosis of rib fracture in CT examination and to develop targeted preventive measures to improve the quality of clinical diagnosis and avoid the occurrence of medical disputes. Methods: From 2014 to 2015, 50 cases of misdiagnosed and misdiagnosed rib fractures in the hospital were selected as the study objects. Retrospective analysis methods were used to analyze the clinical data of the cases, and the results of missed diagnosis and misdiagnosis were summarized Causes, to explore ways to reduce CT missed diagnosis, misdiagnosis, and follow-up diagnosis of patients. Results: 25 cases were missed and only 20 cases were misdiagnosed. Misdiagnosis was done in 5 cases. The main causes of misdiagnosis were misdiagnosis, occult fractures, incorrect setting of scan parameters, lack of experience of reading physicians or lack of careful reading, combined with osteoporosis (38.00%, 10.00%, respectively) 12.00%, 14.00% and 26.00%. Follow-up found that 50 cases of missed diagnosis, misdiagnosis of patients diagnosed again after diagnosis. Conclusion: The clinical diagnosis should be based on the reasons for missed diagnosis and treatment to actively prevent to reduce the missed diagnosis, misdiagnosis.