腹膜后黄色肉芽肿罕见,1935年O’berling首次报道6例并以部位命名,继之国内外虽有陆续报告,但为数不多。现将我院收治的2例报告如下并文献复习。 例1,男50岁,进行性腰痛伴左下肢放射性疼痛一年余,曾按风湿病治疗无效,因症状加重,到我院诊治。检查:L4、5椎左侧旁压痛明显,双下肢肌萎缩,痛觉减退,且以左侧著。椎管造影于L4.5椎间隙完全梗阻。心肺正常,腹部未触及肿块。临床诊断:L4.5椎间盘脱出症。1980年1月22日施术,术中见L4.5椎间隙偏左有-1.5×1.5×0.7cm肿块,L4.5神 Retroperitoneal xanthogranuloma is rare. In 1935, O’berling first reported 6 cases and named after the site, followed by reports at home and abroad, but few were reported. The 2 cases reported in our hospital are reported below and reviewed in the literature. Example 1, male 50 years old, with progressive low back pain and left lower limb radioactivity pain for more than one year, had been treated with rheumatism ineffective, due to increased symptoms, went to our hospital for treatment. Examination: L4, 5 vertebral left side tenderness is obvious, double lower limb muscle atrophy, pain relief, and to the left. Spinal angiography was completely obstructed in the L4.5 intervertebral space. Cardiopulmonary normal, the abdomen did not touch the mass. Clinical diagnosis: L4.5 disc herniation. January 22, 1980 surgery, intraoperative see L4.5 intervertebral space left -1.5 × 1.5 × 0.7cm mass, L4.5 God