CAJ | 학술논문

目的分析总结椎管内肠源性囊肿的手术治疗方法和操作技巧.方法通过回顾性分析总结华山医院神经外科2006年1月至2010年11月收治的20例椎管肠源性囊肿的手术入路、操作方法及手术疗效.结果 20例患者中,18例获得囊肿全切除,2例(其中1例为复发病例)获大部切除；19例患者术后症状体征不同程度改善,1例出现一侧下肢肌力减退；17例患者获得临床随访,平均随访31.2个月.随访患者中16例症状体征不同程度改善,15例囊肿全切除患者MRI复查未见囊肿复发,2例囊肿大部切除病例见囊肿复发.结论适当的手术入路和正确的操作方法,对于全切除、彻底治愈椎管内肠源性囊肿非常重要.
목적 분석총결추관내장원성낭종적수술치료방법화조작기교.방법 통과회고성분석총결화산의원신경외과2006년1월지2010년11월수치적20례추관장원성낭종적수술입로、조작방법급수술료효.결과 20례환자중,18례획득낭종전절제,2례(기중1례위복발병례)획대부절제；19례환자술후증상체정불동정도개선,1례출현일측하지기력감퇴；17례환자획득림상수방,평균수방31.2개월.수방환자중16례증상체정불동정도개선,15례낭종전절제환자MRI복사미견낭종복발,2례낭종대부절제병례견낭종복발.결론 괄당적수술입로화정학적조작방법,대우전절제、철저치유추관내장원성낭종비상중요.
Objective To analyze and summarize the method and technique of surgical management of intraspinal enterogenous cysts.Methods The surgical approach and manipulation,surgical results of 20cases of intraspinal enterogenous cysts were summarized retrospectively,which were treated in Department of Neurosurgery,Huashan hospital from Jan.2006 to Nov.2010.Results Of all 20 cases of intraspinal enterogenous cysts,total removal was achieved in 18cases,partial removal was achieved in 2 cases;Symptoms and signs improved in 19 cases,ipsilateral lower extremity strength decreased in one case.Seventeen cases were followed up clinically with average interval 31.2 months. Sixteen of the followed patients have got somewhat improved in symptom and sign.No recurrence was found on MRI image in fifteen cases with lesion total removal,whereas 2 recurrence in 2 cases with partial removal.Conclusions It is proper surgical approach and correct manipulation that are crucial to total removal and heal intraspinal enterogenous cysts.