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转移到硬脊膜外的肿瘤压迫脊髓是恶性疾病的严重并发症。外科手术辅以放射治疗尽管效果不佳(淋巴瘤除外),仍然是目前所采用的治疗方法。诊断越早,神经受损越轻,治疗效果越好。大多数肿瘤侵犯硬脊膜外间隙都由于骨转移引起。因此,有椎体转移者很易发生硬脊膜外脊髓压迫。本文的目的是评价腰椎穿刺和脊髓造影对尚无脊髓压迫临床症状,但有脊柱转移的病人早期诊断硬膜外侵犯的价值。
The transfer of tumors to the extradural tumor to compress the spinal cord is a serious complication of malignant disease. Surgery, supplemented by radiation therapy, despite poor results (except for lymphoma), is still the current treatment. The earlier the diagnosis, the lighter the nerve damage and the better the treatment effect. Most tumors that invade the epidural space are caused by bone metastases. Therefore, patients with vertebral metastasis are prone to spinal spinal cord compression. The purpose of this study was to evaluate the value of lumbar puncture and myelography in the early diagnosis of epidural invasion in patients with spinal cord compression without clinical symptoms.