目的　探讨小儿椎管内肿瘤误诊原因 ,为早期诊断治疗提供帮助。方法　对我院 76例椎管内肿瘤患儿临床资料进行回顾分析。结果　小儿椎管内肿瘤早期症状不明显 ,易误诊为感染、畸形、窦道及外伤。这与忽视椎管内的辅助检查有关。结论　对反复发作脊神经压迫症状的患儿 ,应进行包括X线摄片、CT或磁共振在内的影像学检查 ,以期早期确诊并手术治疗 Objective To investigate the causes of misdiagnosis of pediatric spinal canal tumors and to provide assistance in the early diagnosis and treatment. Methods The clinical data of 76 children with spinal canal tumor in our hospital were retrospectively analyzed. Results Early symptoms of pediatric intraspinal tumors were not obvious, easily misdiagnosed as infection, deformity, sinus and trauma. This is neglected in the spinal canal auxiliary examination related. Conclusion In children with recurrent spinal nerve compression symptoms, imaging examination including X-ray, CT or magnetic resonance imaging should be performed in order to confirm the early diagnosis and surgical treatment