摘要
目的 :分析胸椎管狭窄症漏诊、误诊及再手术的原因。方法 :采用回顾性研究方法对漏、误诊及再手术的胸椎管狭窄症的病例进行分析。结果 :2 4例再手术的原因有 :10例合并脊髓型颈椎病或颈椎后纵韧带骨化症 ,做了颈椎减压手术 ,漏诊了此症 ;4例误诊为腰椎病变 ,行腰椎减压手术无效 ;首次胸椎减压手术范围不够及节段错误各1例 ;3例首次胸椎减压手术后 ,其它节段又发生狭窄 ;3例因全身性骨疾患致胸椎管狭窄 ,术后其原发病进一步发展 ;2例为胸脊髓前、后方同时压迫而单行后方减压。结论 :上述原因可导致胸椎管狭窄症的漏、误诊及再手术 ,应避免发生。
Objective:To analyse the causes of diagnostic errors and reopreation of thoracic spinal stenosis.Method:Twenty four cases of thoracic spinal stenosis that had been misdiagnosed and with reoperated were studied retrospectively.Result:Ten cases combined with cervical spondylosis with myelopathy or ossification of the posterior longitudinal ligament(OPLL) of the cervical spine and 4 cases with lumber spinal stenosis were erroneously diagnosed.One case was decompressed insufficiently and another was done in wrong level.Three cases developed new stenosis in different level and 3 cases whose stenosis caused by general osteal diseases developed furtherly.Two cases were underwent posterior laminectomy while the anterior oppresion of medulla was still existed.Conclusion:All of the above conditions could result in misdiagnosis and reoperation of thoracic spinal stenosis.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2000年第6期336-338,共3页
Chinese Journal of Spine and Spinal Cord
关键词
胸椎
椎管狭窄
漏诊
误诊
再手术
Thoracic vertebrae
Spinal stenosis
Misdiagnosis
Reoperation
