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目的探讨腰椎管内肿瘤的误诊原因及预防。方法回顾分析15例患者的临床资料。结果本组15例全部获得随访,随访时间1～5年,症状完全消失10例,轻度腰痛4例,遗留感觉减退1例,本组肿瘤均无复发,无死亡病例。结论腰椎管内肿瘤是生长于脊髓、神经及其附属组织的肿瘤,因肿瘤刺激压迫可产生根性痛,早期临床表现与腰椎间盘突出症相似,易误诊漏诊。临床应做到详细采集病史,认真体格检查,结合CT及MRI检查综合分析,做到早期诊断并积极采取正确的治疗方案,减少误诊及漏诊的发生,有效提高治愈率,改善患者的生活质量。
Objective To investigate the causes and prevention of misdiagnosis of lumbar spinal canal tumors. Methods The clinical data of 15 patients were retrospectively analyzed. Results All 15 patients were followed up for 1 to 5 years. There were 10 cases of complete disappearance of symptoms, 4 cases of mild back pain, and 1 case of residual sensory loss. All patients had no recurrence of tumor and no deaths. Conclusions The lumbar spinal canal tumor is a tumor growing in the spinal cord, nerves and its affiliated tissues. It may produce root pain due to tumor stimulation. The early clinical manifestations are similar to those of lumbar disc herniation. Misdiagnosis is missed. Clinic should do a detailed collection of medical history, a careful physical examination, combined with CT and MRI examination of comprehensive analysis, so that early diagnosis and actively take the right treatment, to reduce the misdiagnosis and missed diagnosis, effectively improve the cure rate and improve the quality of life of patients.