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目的探讨椎管内肿瘤误诊原因及防治体会。方法回顾分析我院2007年1月至2010年12月患有椎管内肿瘤患者22例,分析误诊疾病涉及到的临床表现症状,误诊原因和病情时段及治疗转归。结果 22例患者在初诊时都被误诊成坐骨神经痛、风湿性关节炎、腰椎间盘突出症以及腰椎管狭窄等。通过MRI详细检查确诊为椎管内肿瘤,手术后进行病理分析确定有20例患者为神经鞘瘤,2例患者为脊膜瘤。手术后患者恢复情况较好。结论患者发生腰腿痛症状需要详细询问发病病史,严格仔细检查身体、如有可疑则需直接开展MRI检查,确保能够早期发现椎管内肿瘤进行及时的诊断和放置工作。
Objective To investigate the causes of misdiagnosis of intraspinal tumors and its prevention and treatment. Methods A retrospective analysis of our hospital from January 2007 to December 2010 with 22 patients with intraspinal tumors, misdiagnosis of the disease involved in the clinical manifestations, misdiagnosis and disease duration and treatment outcome. Results 22 patients were misdiagnosed as sciatica, rheumatoid arthritis, lumbar disc herniation and lumbar spinal stenosis. Detailed examination by MRI diagnosed spinal canal tumor, pathological analysis after surgery to determine 20 patients with schwannoma, 2 patients were meningiomas. Patients recover better after surgery. Conclusion Patients with low back pain symptoms need to ask in detail about the history of the disease, a careful examination of the body carefully, if suspicious direct MRI examination to ensure early detection of spinal tumors for timely diagnosis and placement.