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罕见病因的胸椎管压迫症13例
引用本文:王荣茂 卢森林. 罕见病因的胸椎管压迫症13例[J]. 中国矫形外科杂志, 1996, 3(3): 184-185
作者姓名:王荣茂 卢森林
作者单位:福建省人民医院骨科,南京军区福州总医院骨科
摘    要:1985年1月~1994年12月收治罕见病因所致胸椎管压迫症13例,其中胸椎间盘突出6例,硬膜外脓肿4例,硬膜下血肿1例,硬膜外脂肪血管瘤1例,硬膜下结核肉芽肿1例。12例曾被误诊.13例均有腰背痛和脊髓病症状,预后同术前脊髓病程度有关。作者分析各病临床特征,提出早期诊断方法,强调CTM和MRI的诊断价值,主张早期手术减压。

关 键 词:胸椎,脊髓病,椎间盘移位,硬脊膜外脓肿,硬脊膜下血肿

Thoracic Spinal Cord Compression due to Rare Causes:13 Cases Report
Wang Rongmao, Fu Chenxue,Lu Sengui,et al.. Thoracic Spinal Cord Compression due to Rare Causes:13 Cases Report[J]. The Orthopedic Journal of China, 1996, 3(3): 184-185
Authors:Wang Rongmao   Fu Chenxue  Lu Sengui  et al.
Abstract:Cases of thoracic spinal cord compression resulted by rare causes were encountered between January 1985 and December 1994 at our hospital, including 6 cases of thoracic disc herniation,4 spinal epidural abscess,1 spinal subdural hematoma, 1 epidural telangiectatic lipoma,1 subdural TB granuloma.Only 1 case of acute spinal epidural abscess was diagnosed, and 12 cases were misdiagnosed in various emergency rooms and clinics.All cases had back pain and myelopathy.The prognoses related to the extent of myelopathy,A retrospective study was undertaken to define better the clinical features. Early diagnosis relied closely on CTM and MRI.Gaining good results were impossible unless early decompression was made.
Keywords:Thoracic myelopathy   Disc herniation   Epidural abscess   Subdural hematoma.
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