突然就没法走路了、大小便也不受控制了……不是腰突！是胸椎里长了肿瘤！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section><section class="empty_paragraph" style="text-align: center; margin-bottom: 8px;"></section><section><section style="vertical-align: middle; color: #3e3e3e; font-size: 15px; letter-spacing: 2px; width: 578px; height: auto !important;"></section></section></section><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">从最初的双下肢麻木无力，再到渐渐出现下腹部酸胀麻木、走路不稳、大小便功能异常……<strong style="box-sizing: border-box;">明明在治疗，但症状却在持续加重。</strong></p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">面对久治不愈的“腰椎间盘突出”，义乌市中心医院快速发现外院此前错误的诊疗方向，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">精准识别、明确患者椎管内隐藏的肿瘤，并为其实施高难度四级手术</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761087001545828.png" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术后，差点要被宣判“瘫痪”的花甲老人恢复正常行走功能。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">这也是中心医院<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">首例脊柱外科椎管内肿瘤手术</span></strong>，标志着医院脊柱外科发展迈上了一个全新台阶。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 20px 0px 10px; transform: translate3d(12px, 0px, 0px); -webkit-transform: translate3d(12px, 0px, 0px); -moz-transform: translate3d(12px, 0px, 0px); -o-transform: translate3d(12px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; border-radius: 11px; overflow: hidden; padding: 8px 17px 8px 11px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box; border: 4px solid #feeeac;"><section style="font-size: 17px; text-align: justify; color: #3b9f79; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">久治不愈的“腰椎间盘突出”</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="transform: rotateZ(26deg); -webkit-transform: rotateZ(26deg); -moz-transform: rotateZ(26deg); -o-transform: rotateZ(26deg); box-sizing: border-box;"><section style="line-height: 0; margin: 0px; transform: translate3d(-19px, 0px, 0px); -webkit-transform: translate3d(-19px, 0px, 0px); -moz-transform: translate3d(-19px, 0px, 0px); -o-transform: translate3d(-19px, 0px, 0px); box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 12px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761106993711085.png" /></section></section></section></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">3个月前，冯阿姨（化名）出现双下肢麻木、乏力，外院就诊后诊断为<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">“腰椎间盘突出”</span></strong>，随即接受了口服药物、理疗按摩等保守治疗。然而，一番治疗下来，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">症状非但毫无缓解，反而持续进展。</span></strong></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761127046688148.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">逐渐地，她开始出现<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">下腹部酸胀麻木、行走不稳</span></strong>，甚至<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">排便排尿都变得困难</span></strong>起来，但进一步颈椎MRI也排除了颈段责任病变。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在家人的陪同下，冯阿姨来到中心医院脊柱（颈椎、腰椎）外科专家门诊，呈<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">痉挛性的不稳步态</span></strong>让庄金鹏第一时间对患者此前“腰椎间盘突出”的诊断打了一个问号。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761147019285506.jpeg" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">入院后，庄金鹏再次为冯阿姨进行了细致的查体，发现了一个被忽略的关键线索：</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">患者<strong style="box-sizing: border-box;">脊柱颈、腰段活动度良好</strong>，上肢感觉、运动及反射均<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">未见明显异常</span></strong>；但<strong style="box-sizing: border-box;"><span style="box-sizing: border-box;">脐平面以下</span></strong>双侧皮肤痛温觉<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">明显减退</span></strong>，双下肢肌力仅Ⅳ级，肌张力明显增高，双侧踝阵挛阳性，病理征阳性——这这并非腰椎间盘突出常见的下运动神经元损害表现，而是<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">典型的上运动神经元损伤体征</span></strong>。</p></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><section></section><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 术前行走步态</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">作为脊柱外科领域的专家，庄金鹏敏锐地意识到，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">患者的病灶极有可能不在颈椎和腰椎，可能恰好位于胸椎中下段</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761161836354196.jpeg" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 术前影像</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">随后，胸椎全程MRI检查印证了他的这一判断：在胸10椎体水平椎管内，发现一枚<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">大小约12mm×14mm×15mm的结节状软组织影</span></strong>，局部蛛网膜下腔扩张，邻近脊髓已被明显挤压移位。</p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">至此，结合患者年龄、发病特点及影像学特征，“真凶”浮出水面——<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">胸椎第10节水平的椎管内肿瘤，从形态上看脊膜瘤可能性大</span></strong>。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 20px 0px 10px; transform: translate3d(12px, 0px, 0px); -webkit-transform: translate3d(12px, 0px, 0px); -moz-transform: translate3d(12px, 0px, 0px); -o-transform: translate3d(12px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; border-radius: 11px; overflow: hidden; padding: 8px 17px 8px 11px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box; border: 4px solid #feeeac;"><section style="text-align: justify; color: #3b9f79; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">精准“拆弹”、重建脊柱稳定</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="transform: rotateZ(26deg); -webkit-transform: rotateZ(26deg); -moz-transform: rotateZ(26deg); -o-transform: rotateZ(26deg); box-sizing: border-box;"><section style="line-height: 0; margin: 0px; transform: translate3d(-19px, 0px, 0px); -webkit-transform: translate3d(-19px, 0px, 0px); -moz-transform: translate3d(-19px, 0px, 0px); -o-transform: translate3d(-19px, 0px, 0px); box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 12px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761175229587056.png" /></section></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761188911641679.jpeg" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ C臂机定位</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">考虑患者症状进展迅速，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">已出现脊髓受压、行走功能障碍及二便功能异常</span></strong>，手术指征明确。经过周密的术前准备，庄金鹏主任医师团队决定为其实施<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">椎管内肿瘤显微摘除、脊髓减压及脊柱稳定性重建术</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section><section style="display: inline-block;"><img style="height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761202499798833.jpeg" /></section></section><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 庄金鹏主任医师在手术中</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术中，手术团队精准定位胸椎第十节，凭借娴熟的显微操作技术，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">精细分离肿瘤与脊髓、神经根的粘连</span></strong>，将<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">瘤体完整摘除</span></strong>，并<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">彻底灭活残留肿瘤组织</span></strong>，以最大程度降低复发风险。减压后，观察脊髓搏动良好、逐步复位。最后，团队采用锁边缝合技术<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">严密修补硬脊膜</span></strong>，杜绝脑脊液漏风险，并行<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">T9–T11节段钉棒系统内固定</span></strong>，重建脊柱后方张力带结构，有效预防术后脊柱不稳及后凸畸形。</p></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><section></section><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 术后行走步态</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术后，冯阿姨恢复顺利，切口愈合良好，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">未出现脑脊液漏、低颅压头痛、呕吐、感染等并发症</span></strong>；双下肢麻木、无力症状逐步缓解，感觉障碍平面逐步下移、消退。得益于加速康复外科理念，术后第10天，她已经能自主下地行走，步态稳定性较术前显著改善，肌张力基本恢复正常，大小便功能也明显好转。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术后病理结果回报为<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">“脊膜瘤（WHOⅠ级）”</span></strong>，证实了术前诊断。出院时，冯阿姨一家人激动不已，<strong style="box-sizing: border-box;">“当时想过最坏的结果，可能就瘫痪在床了，没想到现在恢复正常行走，太感谢中心医院了！”</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 20px 0px 10px; transform: translate3d(12px, 0px, 0px); -webkit-transform: translate3d(12px, 0px, 0px); -moz-transform: translate3d(12px, 0px, 0px); -o-transform: translate3d(12px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; border-radius: 11px; overflow: hidden; padding: 8px 17px 8px 11px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box; border: 4px solid #feeeac;"><section style="color: #3b9f79; font-size: 17px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">腰腿痛不一定是“腰突”</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">这些“危险信号”要留意</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="transform: rotateZ(26deg); -webkit-transform: rotateZ(26deg); -moz-transform: rotateZ(26deg); -o-transform: rotateZ(26deg); box-sizing: border-box;"><section style="line-height: 0; margin: 0px; transform: translate3d(-19px, 0px, 0px); -webkit-transform: translate3d(-19px, 0px, 0px); -moz-transform: translate3d(-19px, 0px, 0px); -o-transform: translate3d(-19px, 0px, 0px); box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 12px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761216329492394.png" /></section></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761231908325508.png" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">庄金鹏指出，胸椎管内脊膜瘤是常见的椎管内肿瘤，大多为良性，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">多见于中老年女性</span></strong>，其特点是<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">起病隐匿、生长缓慢</span></strong>，早期症状常表现为<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">下肢麻木、无力</span></strong>，因此<strong style="box-sizing: border-box;">极易被误诊为腰椎间盘突出症或腰椎管狭窄</strong>，导致许多患者辗转于理疗、按摩、牵引等保守治疗却不见好转，延误了最佳手术时机。</p></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px 9px; transform: translate3d(14px, 0px, 0px); -webkit-transform: translate3d(14px, 0px, 0px); -moz-transform: translate3d(14px, 0px, 0px); -o-transform: translate3d(14px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; background-color: #df1055; padding: 0px 9px; border-radius: 35px; overflow: hidden; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">Q1</strong></p></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 17px; width: 100%; align-self: flex-start; background-size: 3.46278%; background-repeat: repeat; background-position: 0% 0%; background-attachment: scroll; padding: 0px 16px; box-sizing: border-box; background-image: url('https://pics-app.cnyw.net/20260715/1784076134316737203.png');"><section style="margin: 0px; width: 100%; box-sizing: border-box;"><section style="text-align: justify; font-size: 17px; color: #006760; width: 100%; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">那么，如何尽早识别胸椎椎管内病变？</strong></p></section></section></section><section style="transform: rotateY(314deg); -webkit-transform: rotateY(314deg); -moz-transform: rotateY(314deg); -o-transform: rotateY(314deg); transform-origin: left top; -webkit-transform-origin: left top; -moz-transform-origin: left top; -o-transform-origin: left top; margin-top: 0px; margin-bottom: 0px; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 3px 0px -9px; transform: translate3d(33px, 0px, 0px); -webkit-transform: translate3d(33px, 0px, 0px); -moz-transform: translate3d(33px, 0px, 0px); -o-transform: translate3d(33px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; line-height: 0; min-width: 5%; max-width: 100%; height: auto; background-color: #ffffff; box-sizing: border-box;"><section style="transform: rotateZ(315deg); -webkit-transform: rotateZ(315deg); -moz-transform: rotateZ(315deg); -o-transform: rotateZ(315deg); box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="display: inline-block; width: 16px; height: 16px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 1px 1px 0px 0px; border-color: #9ccac7 #9ccac7 #006760 #006760; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-radius: 10px; overflow: hidden; padding: 19px; box-sizing: border-box; border: 1px solid #9ccac7;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 8px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; background-color: #006760; padding: 0px 9px; border-radius: 35px; overflow: hidden; box-sizing: border-box;"><section style="text-align: justify; color: #ffffff; font-size: 13px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">A</strong></p></section></section><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 9px; align-self: center; box-sizing: border-box;"><section style="text-align: justify; color: #006760; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><section style="text-align: justify; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">庄金鹏提醒，颈椎、腰椎是脊柱疾病的高发区域，但是，当出现以下“危险信号”时，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">即使颈、腰椎影像未见明显严重病变，也应高度警惕并完善胸椎MRI检查：</span></strong></p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">1. 存在固定感觉平面</span></strong>：身体出现明确的“分界线”，比如胸口或肚脐水平以下感觉麻木、发凉或疼痛，而以上感觉正常。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">2. 步态异常：</span></strong>走路不稳、有踩棉花感，或呈现双腿僵硬、拖曳的痉挛性步态。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">3. 上运动神经元损害体征：</span></strong>双下肢肌张力增高、腱反射亢进、踝阵挛阳性或病理征阳性</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">4. 大小便功能障碍：</span></strong>出现排尿费力、尿潴留或失禁等括约肌功能障碍。</p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/17840761248029400339.jpeg" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 庄金鹏主任医师正在为患者查体</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">庄金鹏表示，椎管内肿瘤包括神经鞘瘤、畸胎瘤、脊膜瘤等，大多为良性，早期通过显微手术完整切除肿瘤、充分脊髓减压并重建脊柱稳定性，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">神经功能可获得显著改善，预后良好</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。因此，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">早发现、早诊断、早治疗是避免截瘫、提高生活质量的关键。</span></strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 20px 0px 10px; transform: translate3d(12px, 0px, 0px); -webkit-transform: translate3d(12px, 0px, 0px); -moz-transform: translate3d(12px, 0px, 0px); -o-transform: translate3d(12px, 0px, 0px); box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; border-radius: 11px; overflow: hidden; padding: 8px 17px 8px 11px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box; border: 4px solid #feeeac;"><section style="color: #3b9f79; font-size: 17px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">中心医院</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">脊柱（颈椎、腰椎）外科专家门诊</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="transform: rotateZ(26deg); -webkit-transform: rotateZ(26deg); -moz-transform: rotateZ(26deg); -o-transform: rotateZ(26deg); box-sizing: border-box;"><section style="line-height: 0; margin: 0px; transform: translate3d(-19px, 0px, 0px); -webkit-transform: translate3d(-19px, 0px, 0px); -moz-transform: translate3d(-19px, 0px, 0px); -o-transform: translate3d(-19px, 0px, 0px); box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 12px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/1784076126146137642.png" /></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 10px; width: 100%; align-self: flex-start; padding: 3px; box-sizing: border-box; border: 1px solid #3894bc;"><section style="justify-content: flex-start; display: flex; flex-flow: row; width: 100%; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; padding: 20px; box-sizing: border-box; border: 1px solid #3894bc;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 0px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 33%; align-self: flex-start; flex: 0 0 auto; border-radius: 99%; overflow: hidden; padding: 6px; height: auto; background-image: linear-gradient(90deg, #c3efff 13%, #3fc0ff 50%, #9ce8e2 89%); box-sizing: border-box; border: 0px solid #dae5a5;"><section style="margin: 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; border-radius: 99%; overflow: hidden; box-sizing: border-box; border: 2px solid #ffffff;"><a class="weapp_image_link js_weapp_entry" style="width: 100%;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/20260715/1784076127515863886.jpeg" /></a></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; flex: 100 100 0%; height: auto; padding: 0px 0px 0px 16px; align-self: flex-start; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; box-sizing: border-box;"><section style="margin: 0px; box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; background-image: linear-gradient(90deg, #c3efff 13%, #3fc0ff 50%, #9ce8e2 89%); border-radius: 130px; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 17px; color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 0px 0px 0px 8px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">庄金鹏</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-size: 13px; color: #646464; box-sizing: border-box;"><strong style="box-sizing: border-box;">骨科副主任、主任医师</strong></span></p></section></section></section><section style="text-align: left; margin: 0px 0px 13px; box-sizing: border-box;"><section style="background-image: linear-gradient(90deg, #c3efff 13%, #3fc0ff 50%, #9ce8e2 89%); height: 1px; box-sizing: border-box;"></section></section><section style="text-align: justify; color: #646464; line-height: 2; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #5f9cef; box-sizing: border-box;"><strong style="box-sizing: border-box;">擅长：</strong></span>颈胸腰椎疾病的手术治疗，特发性脊柱侧弯的早期干预、手术治疗和长期管理。脊柱病变如肿瘤、结核、布氏杆菌感染的综合治疗;脊柱创伤急诊急救及手术治疗、术后康复指导;脊柱微创手术如骨质疏松性骨折的PVP、PKP手术治疗，尤其擅长腰椎间盘突出症、颈椎病、胸腰椎管狭窄症的内镜治疗，并将微创理念融入到传统脊柱手术中。</p></section></section></section><section style="margin: 0px 0px -10px; box-sizing: border-box;"><section style="text-align: justify; color: #5f9cef; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">点击头像↑，进入</strong><strong style="box-sizing: border-box;"><span style="color: #fb4a60; box-sizing: border-box;">预约挂号</span></strong><strong style="box-sizing: border-box;">界面</strong></p></section></section></section></section></section></section><section></section><section><section style="margin-top: 0.5em; margin-bottom: 0.5em; font-size: 15px; letter-spacing: 2px; color: #3e3e3e;"><section style="background-color: #a0a0a0; height: 1px;"></section></section><section style="margin-bottom: 0px; color: #a0a0a0; text-align: right; letter-spacing: 0px;"><p style="font-size: 10px;"><span style="font-size: 12px; font-weight: bold;">部分图片来源于腾讯医典</span></p><p style="font-size: 10px;"><span style="font-size: 12px; font-weight: bold;">文/图/视频/编辑：宣传统战部 张金蓉</span></p><p style="font-size: 10px;"><span style="font-size: 12px;"><span style="font-weight: bold;">校审：庄金鹏、应志翔、</span><span style="font-size: 12px;"><span style="font-weight: bold;">骆高健</span></span></span></p><section class="empty_paragraph" style="text-align: center; margin-bottom: 8px;"></section><p class="empty_paragraph" style="margin-top: 10px; margin-bottom: 10px; font-size: 16px; font-variant-numeric: normal; font-variant-east-asian: normal; color: #6a3e3e; letter-spacing: 0.544px; text-align: left; line-height: normal;"> </p></section></section><p style="display: none;"> </p> <!----></div> :):) 点赞
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