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目的 :椎管内肿瘤易与腰椎间盘突出症相混淆 ,探讨主要探讨其鉴别要点。方法 :回顾分析 416例下腰痛病人 ,对初诊为腰椎间盘突出症 ,以后确诊为椎管内肿瘤的共 6例的临床症状、体征和图像分析。结果 :本组病例误诊率约为 1.44 %。所有病例均有不同程度的夜间痛、症状和体征平面与影像检查平面不一致。结论 :正确诊断强调病史、体验和影像学检查的三结合 ,对有怀疑者应给予行胸腰段的 MRI检查或脊碘造影 ,以排除椎管内肿瘤
Objective : The spinal canal tumor is easily confused with lumbar disc herniation. Methods :A retrospective analysis of 416 patients with low back pain was performed on the newly diagnosed lumbar disc herniation. The clinical symptoms, signs, and image analysis of 6 patients with confirmed intraspinal tumors were analyzed. Results : The misdiagnosis rate in this group was about 1.44 %. All cases had different degrees of night pain, symptoms and signs and the image inspection plane was inconsistent. Conclusion: The correct diagnosis emphasizes the combination of medical history, experience, and imaging studies. Thoracic and lumbar MRI or iodine radiography should be given to those with skepticism to rule out intraspinal tumors.