胸椎椎间盘突出症11例报告

Protrusion of thoracic intervertebral disk : report of 11cases

作者报告了１１例胸椎间盘突出病例。１１例均行ｘ线平片、脊髓造影、脊髓造影加ＣＴ扫描（ＣＴＭ）检查，其中３例进行了ＭＲＩ检查。１１例均经手术证实。１１例有１３处间盘突出，其中Ｔ＿（１０，１１）４处，Ｔ＿（１１，１２）５处，Ｔ＿１２，Ｌ＿１，４处。中央型９例，旁中央型１例，外侧型１例。１１例术前均有明确的临床表现，本组病例初诊多诊断为腰椎间盘突出，甚至心、肺、消化道及泌尿系疾患。作者认为误诊的主要原因是：（１）本病发病率低，不易引起临床医师的注意；（２）临床表现不典型。比较各种检查手段，作者认为ＣＴＭ的诊断正确率最高。

AbstractThe authors reported 11 cases of thoracic inter-rertebral disk protrusion examined with plane film,myelograhy,CT and CT-myelography in 11 cases andMR imaging in 3. All of the 11,cases were confirmedby operation, There were 13 protrusions in the 11 cas-es with the locations of T_(10～11) in 4,T_(11～12) in 5 cases andT_12～L_1 in 4.9 protrusions fell into central type,1 intoparacentral type and 1 into lateral type. The clinicalsymptoms were prominent with all 11 cases , howerer,most primary clinical diagnoses were erroneously givenas lumber intervertebral disk protrusions and even thedisorders of heart,lung,alimentary tract and urinarysvstem. It was concluded that the main causes of the misdiagnosis included : (1 )not easily to think of this en-tity for the clinic phycisians due to its low incidence,(2 ) the untypical clinical manifestations.The authorsconsidered that the exam method with the highest acu-racy is CT-myelography.