摘要
脊柱转移癌合并病理性压缩骨折５１例和同期收治和门诊诊治的原发性骨质疏松症合并压缩性骨折２１例，两者之间，尤其是位于胸腰段和腰椎的病变常难以鉴别，有２例骨质疏松症病人误认为转移癌而手术探查．作者从一般情况、主要症状、是否合并神经损害、实验室检查、影像学检查等方面的资料，对两种疾患的异同做了分析，结果表明，病灶单发、疼痛较严重并有夜间痛，椎体破坏并有椎旁软组织肿块，且合并脊髓压迫或神经根性症状者是脊柱转移癌的特征；骨质疏松症患者一般年龄偏高、女性较多，病椎呈多发、除病椎压缩变扁外，其他椎体密度亦降低、无椎旁软组织肿块影，疼痛较轻，无脊髓压迫或神经根性症状为其特征．
From 1984 to 1994, 51 cases of metastatic carcinoma of spine with pathological compress ion fracture of vertebral body and 21 cases of primary osteoporosis with wedge-shaped compress ion fracture of vertebral body were treated in our hospital. The author found that it was very difficult to different late these two kinds of diseases, especially the cases in thoracolumbar and lumbar vertebrae. Among them, 2 cases of primary osteoporosis are misdiagnosed as metastatic carcinoma and explored by surgical operation. Reviewing these cases by general conditions, main symptoms, injure of nerve, laboratory examination, image examination and so on, the authorsuggested that metastatic carcinoma of spine shows characters of single pathological change of vertebral body, Sharp Dam and always with nocturnal pain, destructive vertebrae with paravertebrae soft tissue mass, and spinal cord compression or symptoms of nerve root. Whereas, tile primary os teoporosis shows characters of great age, most finding in female, mild pain, multiple pathological vertebral body,besides wedge-shaped compres s ion fracture vertebrae, decrease in density with other vertebrae also, no paravertebral soft t issue mass, and no spinal cord compress ion or symptoms of nerve root.
出处
《伤残医学杂志》
1996年第4期7-8,11,共2页
Medical Journal of Trauma and Disability
关键词
压缩性骨折
骨质疏松
脊柱转移癌
鉴别
Compression fracture
Osteoporosis
Metastatic carcinoma of spine
