摘要
以２例椎管内神经鞘瘤误诊为腰椎间盘突出症为例，对误诊的原因进行分析。认为忽略二者症状与体征的比较，忽略腰椎穿刺检查及脊髓造影是误诊的重要原因。脑脊液动力学改变和蛋白含量增高是椎管内肿瘤早期诊断的重要依据。椎管内碘苯酯或Ｏｍｎｉｐａｑｕｅ非离子化造影可以全面动态地观察椎管内神经鞘瘤，为临床鉴别提供有力证据。
In two cases of intraspinal neurinoma misdiagnosed as protrusion of intervertebral disc,the cause are analysed.The neglect of the comparison of symptoms and signs,and the lack of lumbar puncture and spinal myelography are the most important reasons of misdiagnosis. The changes of the dynamics of cerebrospinal fluid and the increase of the contents of albumin are the important basis for the early diagnosis of intraspinal tumor. With the intraspinal myelography of iophendylate or of Omnipaque,the intraspinal neurinoma can be fully observed,which can furnish the evidence for clinical diagnosis.
出处
《福建中医学院学报》
1997年第4期28-29,共2页
Journal of Fujian College of Traditional Chinese Medicine
关键词
椎管
神经鞘
神经瘤
诊断
误诊
腰椎间盘突出
lumbar vertebrae
dislocation of intervertebral disc/diag
intraspinal neurinoma/diag
misdiagnosis
