摘要
背痛在儿科临床中较为常见,多数情况下具有良性及自限性特点,但持续性背痛可能继发于炎症、感染、肿瘤或先天性疾病,需引起足够重视。本文报道1例以夜间肩胛区疼痛为主要表现的儿童背痛病例,经磁共振成像(MRI)及术后病理检查确诊为椎管内富于细胞性神经鞘瘤。本病例提示临床医生应关注儿童背痛中的特殊临床特征,警惕潜在器质性病变,合理选择影像学检查,并通过多学科协作提高诊断准确性,从而实现早期干预和良好预后。
Back pain is relatively common in pediatric clinical practice and often exhibits benign and self-limiting characteristics.However,persistent back pain may be secondary to inflammation,infection,tumors,or congenital diseases,warranting sufficient attention.This article reported a case of childhood back pain primarily presenting as nocturnal scapular region pain,who was diagnosed as intraspinal cellular schwannoma via magnetic resonance imaging(MRI)and postoperative pathology.In this case,it is suggested that clinicians should pay attention to special clinical features of back pain in children,be vigilant for potential organic lesions,reasonably select imaging examinations,and enhance diagnostic accuracy through multidisciplinary collaboration,thereby enabling early intervention and favorable prognosis.
作者
李蕾
傅大干
段建羽
徐燕
周伟
LI Lei;FU Dagan;DUAN Jianyu;XU Yan;ZHOU Wei(Department of Pediatrics,the 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army,Kunming,Yunnan,650032)
出处
《实用临床医药杂志》
2025年第16期103-105,111,共4页
Journal of Clinical Medicine in Practice
基金
云南省昆明市科技计划项目(昆科计字2023-1-NS-034号)。
关键词
儿童背痛
细胞性神经鞘瘤
鉴别诊断
椎管内占位
夜间疼痛
影像学检查
多学科诊疗
良性肿瘤
childhood back pain
cellular schwannoma
differential diagnosis
intraspinal space-occupying lesion
nocturnal pain
imaging examination
multidisciplinary treatment
benign tumor
