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论文对5例腰骶神经节变异和1例神经鞘膜瘤的诊治,目的:对其神经节变异的认识,以及与神经鞘膜瘤的鉴别加以讨论。方法:从1994-1996年,搜集到5例神经节异位,另有1例为神经鞘膜瘤,全部病例均为男性,年龄23-58岁,平均42岁,职业均为体力劳动者,异位的部位,L3,4间隙左侧1例,L4,5间隙右侧1例,L5S1间隙右侧2例,L5S1间隙左侧1例,全部病例均手术治疗,结果:认为腰骶神经节变异是解剖生理变异,一般不会产生症状,只有合并侧隐窝狭窄时才会出现症状,所以常误诊为“腰椎间盘突出症”,结论对神经节异位CT有助于诊断,而磁共振要高于CT,与神经鞘膜瘤的鉴别影像学者很难将两者区分开来,手术是较好的鉴别方法,对于神经节不能冒然切除
In this paper, 5 cases of lumbosacral ganglion variation and 1 case of neurinoid tumor were treated. The purpose of this study was to understand the variation of ganglion and to identify the difference between the two methods. Methods: From 1994 to 1996, five cases of ganglion encephalopathy were collected, and another one was neurofacial meningioma. All the cases were male, aged 23-58 years with an average of 42 years. All of them were manual workers, In the ectopic region, there were 1 case on the left of L3 and 4 cases, 1 case on the right of L4,5 and 2 cases on the right of L5S1 and 1 case on the left of L5S1. All patients were surgically treated. Results: The lumbosacral ganglion Variation is anatomical and physiological variation, the general does not produce symptoms, only with the side of the recess will appear when the symptoms, it is often misdiagnosed as “lumbar disc herniation,” Conclusions on the ganglion is helpful in the diagnosis of CT, and magnetic resonance To be higher than CT, and neurovascular differentiation of imaging scholars is difficult to distinguish between the two, surgery is a better identification method, the ganglia can not be abruptly removed