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椎管内肿瘤早期误诊率极高。作者统计经手术和病理证实的椎管内肿瘤287例,其中延误诊断136例,现总结分析如下。一般资料一、性别与误诊椎管内肿瘤男性发病154例,误诊73例。女性发病133例,误诊63例。男、女误诊率皆为47.4%。二、年龄与误诊的关系(表1)三、病程和延误时间从首发症状至确诊的时间最短者10天,最长达19年,延误诊断在2年以内者占88%。其中90%的转移癌在5个月以内、78.3%的非胶质恶性肿瘤在6个月内,血管瘤、纤维瘤和脊膜瘤平均约为2年。
Early spinal canal misdiagnosis rate is very high. The authors statistics of 287 cases of spinal canal tumor confirmed by surgery and pathology, of which 136 cases of delayed diagnosis, are summarized as follows. General Information First, gender and misdiagnosis of spinal canal tumors in 154 cases of men, misdiagnosed 73 cases. 133 cases of female onset, misdiagnosed 63 cases. Male and female misdiagnosis rates were 47.4%. Second, the relationship between age and misdiagnosis (Table 1) Third, the duration and delay time from the initial symptoms to the diagnosis of the shortest 10 days, up to 19 years, delayed diagnosis of 88% within 2 years. Of these, 90% had metastases within 5 months, 78.3% of non-glioblastomas within 6 months had an average of about 2 years for hemangiomas, fibroids and meningioma.