我院自1984年以来,收治4例腰椎间盘突出合并胸腰段椎管内神经鞘瘤患者,临床症状和体征均以腰腿痛为主,两者极易混淆,其中3例发生漏诊.临床资料 年龄35～51岁,平均41.8岁.病史1～3年,平均1.75年.临床症状均为腰痛伴下肢放射痛.体征均有肢体感觉障碍区;其中2例直腿抬高及加强试验阳性,另1例阴性;2例腱反射亢进,1例减弱;术前X线片无异常2例,椎间隙变窄1例;CT片均可见椎 In our hospital since 1984, 4 cases of lumbar disc herniation combined with thoracolumbar spinal schwannoma, the clinical symptoms and signs are mainly low back and leg pain, the two easily confused, of which 3 cases of missed diagnosis. Clinical Data were from 35 to 51 years old with an average age of 41.8 years old, with a history of 1 to 3 years and an average of 1.75 years. All the clinical symptoms were low back pain with radiating pain of the lower extremities. All of the patients had limb sensory disturbances. , The other one negative; 2 cases of tendon hyperreflexia, 1 case weakened; no abnormalities in 2 cases of X-ray film, 1 case of narrowed intervertebral space;