目的:探讨1例胸椎椎管内血管瘤的诊断和治疗。方法:2013年4月10日收治1例误诊为腰椎间盘突出症的患者。通过临床查体,考虑胸椎管内有病变,门诊给予胸椎MRI检查,诊断为胸椎肿瘤,后经手术切除病理证实为血管瘤。结果:患者术前查体、MRI检查结果与术后病理吻合。结论:临床查体非常重要,感觉平面、下肢肌张力等均能提示脊柱病变的位置。通过这例临床误诊为腰椎间盘突出症的明确诊断及治疗,充分说明临床查体的重要性。积极采取手术治疗,取得良好疗效。 Objective: To investigate the diagnosis and treatment of a thoracic vertebral canal hemangioma. METHODS: One patient misdiagnosed as lumbar disc herniation was admitted on April 10, 2013. Through clinical examination, consider thoracic spinal lesions, outpatient thoracic MRI examination, diagnosis of thoracic tumors, after surgical excision of the pathology confirmed as hemangioma. Results: The preoperative physical examination and MRI findings were consistent with postoperative pathology. Conclusion: The physical examination is very important, the sense of plane, lower limb muscle tension can prompt the location of spinal lesions. Through this clinical misdiagnosis of lumbar disc herniation as a clear diagnosis and treatment, fully explain the importance of clinical examination. Active surgical treatment, and achieved good results.