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1964～1994年,我们收治误诊误治为腰椎间盘突出症的马尾部神经鞘瘤20例。现报告如下,并就本组病例的误诊误治原因进行分析讨论。1 临床资料 20例中,男14例,女6例;年龄38～62岁,其中50～62岁13例;病程3个月～4年,其中6个月～2年14例。20例均在外院误诊为腰椎间盘突出症,其中长期服用药物、推拿、牵拉等治疗14例,行腰椎椎板切除减压手术治疗(手术情况不详)6例。20例均为经上述治疗无效,病情进行性加重而来本院。
1964 ~ 1994, we received misdiagnosis as lumbar disc herniation cauda equina schwannoma 20 cases. Now report as follows, and the reasons for the misdiagnosis of this group of cases analysis and discussion. 1 clinical data of 20 cases, 14 males and 6 females; aged 38 to 62 years, of which 50 to 62 years in 13 cases; duration of 3 months to 4 years, of which 6 months to 2 years in 14 cases. All 20 patients were misdiagnosed as lumbar disc herniation in the hospital. Among them, 14 were treated with drugs, massage and traction for a long time, and 6 underwent decompression surgery of lumbar laminectomy (unknown operation). 20 cases were invalid by the above treatment, the disease progressed to our hospital.