椎管内肿瘤的临床诊断及症状分析  

Clinical diagnosis and symptom of intraspinal tumor

作　　者：赵红军[1] 杨书丰[1] 高苏宁[1] 段文江[1] 王进[1] 邱康宁[1] 苏明海[1] 

机构地区：[1]解放军八一医院骨科

出　　处：《临床肿瘤学杂志》2008年第7期627-629,共3页Chinese Clinical Oncology

摘　　要：目的:探讨椎管内肿瘤的临床表现,提高早期诊断水平。方法:回顾性分析81例椎管内肿瘤患者的临床症状、体征、影像学检查及病理类型。结果:椎管内肿瘤早期主要症状是疼痛(75%)、感觉异常(24%)和肌无力(49%),特别是夜间休息时疼痛加重,活动后症状减轻是主要临床特点。核磁共振是重要的检查诊断手段。结论:重视椎管内肿瘤的临床表现,完善体格检查,及时进行核磁共振等影像学手段的检查是提高早期诊断水平的关键。Objective： To investigate the clinical profile of intraspinal tumor in order to improve early detection. Methods： The clinical symptom, physical sign, imaging presentations and pathological data of a case series of 81 patients with a diagnosis of intraspi- nal tumor were analyzed in this retrospective study. Results：Pain （75 % ）, paresthesia （24%）and myasthenia（49% ） were considered main early manifestations of intraspinal tumor, among which nocturnalpain was of greater clinical significance. MRI was also an important detective facility. Conclusion ：The diagnosis of intraspinal tumor should be made on the basis of clinical symptoms, above physical examination findings and a good MRI observation in time.

关 键 词：椎管内肿瘤 临床症状 诊断 分析 

分 类 号：R733.3[医药卫生—肿瘤]