你不知道的椎管内肿瘤,其实是这样的!

2017-03-25 佚名 搜狐健康

初听椎管内肿瘤,大家会觉得非常严重,但是医生通常会告诉椎管内肿瘤患者,多数椎管内肿瘤都是良性的,所以不必担心。最常见的良性肿瘤是神经鞘膜瘤和脊膜瘤;恶性肿瘤比例不高,一般包括来源于骨性的肿瘤、来源于韧带、软组织的肿瘤以及转移瘤等,都属于恶性的椎管内肿瘤;还有一类恶性肿瘤是来源于脊髓、来源于神经系统的肿瘤,一般不称之为癌症,如胶质瘤、室管膜瘤等。椎管内肿瘤的良性肿瘤一般不会发生恶性变。听了这么多关于

初听椎管内肿瘤,大家会觉得非常严重,但是医生通常会告诉椎管内肿瘤患者,多数椎管内肿瘤都是良性的,所以不必担心。

最常见的良性肿瘤是神经鞘膜瘤和脊膜瘤;恶性肿瘤比例不高,一般包括来源于骨性的肿瘤、来源于韧带、软组织的肿瘤以及转移瘤等,都属于恶性的椎管内肿瘤;还有一类恶性肿瘤是来源于脊髓、来源于神经系统的肿瘤,一般不称之为癌症,如胶质瘤、室管膜瘤等。椎管内肿瘤的良性肿瘤一般不会发生恶性变。

听了这么多关于椎管内肿瘤的知识,有人会问,椎管内肿瘤通常在临床上会出现什么症状呢?第四军医大学唐都医院神经外科五病区贾栋主任解释:

椎管内肿瘤都有哪些临床表现呢?

1、患者表现为难忍的疼痛,并表现为进行性的加重,患者在卧床休息时疼痛会加重,而在行走或活动后疼痛缓解。

2、患者在疼痛发生不久即会有肢体感觉障碍的发生,并伴有明显的肌力减退,并且可能呈现为向心性发展。

3、患者在短期内会发生神经功能的障碍,严重者会导致瘫痪。

4、患者的最初症状长表现为神经根性疼痛,主要的感觉是上行性和下行性障碍,严重的患者还会表现为括约肌功能明显损害。

除了以上症状以外,椎管内肿瘤还会引起什么并发症值得我们注意呢?贾主任解释:

椎管内肿瘤会引起脊柱畸形吗?

需要警惕的是,椎管内肿瘤也有造成脊柱畸形的可能性的。虽然椎管内肿瘤和脊柱肿瘤的生长位置不一样,但是别以为椎管内肿瘤就一定不会造成脊柱畸形。

有的椎管内恶性肿瘤,生长速度非常快,也能从椎管内突出来,累及脊柱。如果严重的累积到关节突就容易引起脊柱畸形,但这种情况比较少。

通常的情况是肿瘤比较大,大到足以破坏脊柱的稳定性时,就会造成脊柱畸形,但一般来说椎管内肿瘤导致脊柱畸形的情况还是非常少见的。

不过,有些先天性椎管内肿瘤的患儿,在生长发育过程中,不仅椎管内长了肿瘤,同时还伴有脊柱的发育畸形,这也是肿瘤与脊柱畸形共存的一种情况。需要患者家属警惕,及时前往相关专科医院神经外科就诊治疗。

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    2017-10-09 bugit
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  3. [GetPortalCommentsPageByObjectIdResponse(id=1690756, encodeId=d3241690e56a5, content=<a href='/topic/show?id=de3362880f1' target=_blank style='color:#2F92EE;'>#椎管内#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62880, encryptionId=de3362880f1, topicName=椎管内)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae6d29130493, createdName=bugit, createdTime=Mon Oct 09 10:05:00 CST 2017, time=2017-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1724224, encodeId=ade11e2422488, content=<a href='/topic/show?id=71c1628e901' target=_blank style='color:#2F92EE;'>#椎管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62879, encryptionId=71c1628e901, topicName=椎管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7d4e33593434, createdName=caobinglei8090, createdTime=Fri Feb 09 22:05:00 CST 2018, time=2018-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=182804, encodeId=d88f182804ee, content=好文,值得点赞,更值得收藏!慢慢领会学习的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sun Mar 26 09:47:10 CST 2017, time=2017-03-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=182665, encodeId=79ca1826651c, content=长知识了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84e21956153, createdName=1e1263e3m20(暂无匿称), createdTime=Sat Mar 25 16:46:28 CST 2017, time=2017-03-25, status=1, ipAttribution=)]
    2017-03-26 ylzr123

    好文,值得点赞,更值得收藏!慢慢领会学习的。

    0

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    2017-03-25 1e1263e3m20(暂无匿称)

    长知识了,多谢分享

    0