腰椎间盘突出症与马尾肿瘤

马尾肿瘤与腰椎间盘突出症有许多相似的临床表现,易混淆,作者通过手术证实的17例马尾肿瘤临床分析,总结出本症特点以腰腿痛为显著表现,直腿抬高试验大多阴性,椎旁压痛少,马鞍区感觉减退少于半数,脑脊液蛋白定性阳性,蛋白定量明显升高,脊髓造影显示大杯口充盈缺损,早期X线示椎弓根变扁平,弓根间距增宽少见,不能依赖CT及MRI。一旦马尾肿瘤确诊,手术应尽早施行。

Protrusion of lumbar interveetbral disc and tumor of cauda equina

There are plenty of similarities among clinical manifestations between tumor of cauda equina and protrusion of lumbar intervetebral disc, so they are easily to be mixed. Through clinical analysis of 17 cases of surgical proved tumor of cauda equina, the author realizes that the ailment has an evident characteristics of waist and leg pain, negative in Laseque's sign, tenderness over the paravertebral space,less than half of them with parasthesia around the saddle area. positive CSF protein content qualitatively, elevation of the protein content quantitatively, a large cup-like defect in the myelography, early X-ray film showed flattening of the pedicle of vertebral arch, rarely there is broadening between the distance within these pedicles. CT scanning and MRI examination can't be relied on. Early operation is recommended.