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脊髓外肿瘤并非少见疾病,一般诊断并不困难。但本病早期缺乏特征,有些人又不能直接就诊于神经科,以致延误诊断,直至发生截瘫方能确诊,影响了手术治疗效果。单以腹痛为首发症状椎管内肿瘤临床报告甚少,国内仅见3例报告,2例误诊为阑尾炎,1例为腹痛,2例为髓外肿瘤,1例为髓内肿瘤。现将曾误诊为腹部外科疾患二例脊髓外肿瘤报告如下。例1,男,60岁,因下腹痛,大便困难三个月,于1981,3,21以“腹痛待查”收入普外科。患者于住院前三月无任何诱因,自觉全腹疼痛伴有大便困难。住
Spinal cord tumors are not uncommon diseases, the general diagnosis is not difficult. However, the early lack of characteristics of this disease, some people can not directly visit the Department of Neurology, resulting in delayed diagnosis until the occurrence of paraplegia can be diagnosed, affecting the surgical treatment. Only abdominal pain as the first symptom of spinal canal tumor clinical reports rarely, only 3 cases of domestic reports, 2 cases misdiagnosed as appendicitis, 1 case of abdominal pain, 2 cases of extramedullary tumors, 1 case of intramedullary tumors. Two cases of extra-spinal tumors that have been misdiagnosed as abdominal surgical disorders are reported below. Example 1, male, 60 years old, due to lower abdominal pain, stool for three months, in 1981,3,21 “abdominal pain pending investigation” income General Surgery. Patients in hospital without any incentives in March, consciously full abdominal pain accompanied by stool. live