摘要
回顾性分析1例因首发症状为肛门直肠坠胀不适的骶管内神经鞘瘤患者并文献复习,骶管内神经鞘瘤的早期临床症状及影像学表现非特异性以致很难察觉,因其早期运动障碍不明显,部分患者可能主因小便不适或肛门会阴不适就诊于泌尿科、妇科或肛肠科等而治疗无效。临床上因骶管占位而致首发症状为肛门直肠、泌尿生殖障碍而致漏诊、误诊的病例不为少数,因此对于高度怀疑盆腔疼痛患者,应予腰椎磁共振检查,以提高诊断的准确性和全面性,对此病的诊疗和手术方式选择及预后有重要的意义。
A case of intrasacral schwannoma with anorectal distress as the first symptom was retrospectively analyzed and the literature was reviewed.The early clinical symptoms and imaging findings of intrasacral schwannoma were non-specific and difficult to detect.Because the early movement disorders are not obvious,some patients may be treated in urology,gynecology or anorectal department mainly due to urination or anoperineal discomfort,and the treatment is ineffective.There are not a few cases of missed diagnosis and misdiagnosis due to the initial symptoms of anorectal and urogenital disorders.Therefore,for patients with highly suspected pelvic pain,lumbar magnetic resonance imaging should be performed to improve the accuracy and comprehensive diagnosis,which is of great significance for the diagnosis and treatment of this disease,the choice of surgical methods and prognosis.
作者
李华娟
魏志军
李伟林
LI Huajuan;WEI Zhijun;LI Weilin(Department of Proctology,Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,Shenzhen 518033,China)
出处
《光明中医》
2024年第13期2696-2699,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
骶管神经鞘瘤
升督平木汤
医案
intrasacral schwannoma
Shengdu Pingmu decoction
medical case
