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目的分析探讨椎管内肿瘤误诊原因及预防策略。方法回顾性分析21例被误诊的椎管内肿瘤患者的临床资料,分析总结误诊原因及防治对策。结果椎管内肿瘤误诊的原因主要有早期症状不典型20例(95.2%),病情发展缓慢17例(81.0%),合并其他特征突出的并发症11例(52.4%),病史、病症检查不仔细14例(66.7%)等。经过针对性的治疗之后,21例椎管内肿瘤患者临床症状均全部消失,能够正常生活和工作,其中2例会有较轻微的疼痛感,但生活能够自理。结论治疗前详细询问患者的病史,并采用正确的检查方式对患者的身体进行全面严格的检查,以避免误诊,提高诊断和治疗效率。
Objective To analyze the causes of misdiagnosis of intraspinal tumors and the preventive strategies. Methods The clinical data of 21 patients with misdiagnosed intraspinal neoplasms were retrospectively analyzed. The causes of misdiagnosis and the prevention and cure strategies were summarized. Results The main causes of misdiagnosis of spinal canal tumors were as follows: 20 cases (95.2%) with atypical early symptoms, 17 cases (81.0%) with slow progression, 11 cases (52.4%) with other prominent complications, Carefully in 14 cases (66.7%) and so on. After targeted treatment, 21 cases of intracranial tumors in patients with clinical symptoms were completely disappeared, to normal life and work, of which 2 patients have a slight pain, but life can take care of themselves. Conclusions Before treatment, patients ’medical histories were asked in detail, and the patients’ bodies were examined thoroughly and strictly by correct examination methods to avoid misdiagnosis and improve diagnosis and treatment efficiency.