肋间神经鞘瘤的诊断特点分析

The characters of diagnosis of intercostal schwannoma

目的探讨肋间神经鞘瘤的诊断特点。方法对2例肋间神经鞘瘤患者的临床诊断资料进行回顾性分析。结果2例患者术前均诊断为其他病变(1例术前诊断为包裹性结核性脓胸;1例术前诊断为胸壁恶性肿瘤),术后病理证实为肋间神经鞘瘤。结论起源于肋间神经远端的神经鞘瘤极少见,影像学上有一定特点,易误诊为胸壁或胸腔内病变,应注意鉴别。

Objective To probe the characters of the diagnosis of intercostal schwannoma. Methods Retrospectively analyzed the clinical data of 2 cases intercostal schwannoma. Results Both the 2 cases were misdiagnosed as other diseases before surgery （ 1 as the encapsulated tuberculous empyema, 1 as the malignant chest tmnor） and were convinced as the intercostal schwannoma by the pathology after surgery. Condusion Schwannoma originated from the peripheral intercostal nerve are very rare in clinic and are easily misdiagnosed as other chest diseases or pleural diseases, but they have certain characters in imaging. Much more attention should be taken in the differential diagnosis.