CAJ | 학술논문

目的探讨椎管内肠源性囊肿的诊断、影像学检查和显微外科手术治疗的效果.方法回顾性分析2009年4月至2012年8月诊治的18例椎管内肠源性囊肿患者的临床表现、影像学特点、手术方法和治疗效果.结果 18例患者术前常规行MRI检查,术前确诊16例；2例术中高度怀疑.18例患者中显微镜下全切囊肿17例,1例大部切除,2例术中切除囊肿后行椎体固定融合术,术后患者均恢复良好.结论椎管内肠源性囊肿具有典型的临床表现和磁共振特点.显微外科技术下手术切除囊壁是椎管内肠源性囊肿最有效且有望治愈的手段.对于肿瘤侵犯椎体、椎弓根或受累椎间关节超过2个节段以上的病例,在全切除病变后,应行相应椎体固定手术,以维持脊柱稳定性.
목적 탐토추관내장원성낭종적진단、영상학검사화현미외과수술치료적효과.방법 회고성분석2009년4월지2012년8월진치적18례추관내장원성낭종환자적림상표현、영상학특점、수술방법화치료효과.결과 18례환자술전상규행MRI검사,술전학진16례；2례술중고도부의.18례환자중현미경하전절낭종17례,1례대부절제,2례술중절제낭종후행추체고정융합술,술후환자균회복량호.결론 추관내장원성낭종구유전형적림상표현화자공진특점.현미외과기술하수술절제낭벽시추관내장원성낭종최유효차유망치유적수단.대우종류침범추체、추궁근혹수루추간관절초과2개절단이상적병례,재전절제병변후,응행상응추체고정수술,이유지척주은정성.
Objective To study the diagnosis,image investigation and the effection of microsurgical treatment of intraspinal enterogenous cyst.Methods We retrospectively analyzed clinical manifestations,characteristics of imaging,operative approach and treatment effect of 18 cases which were confirmed for intraspinal enterogenous cyst.Results MRI was done in 18 cases preoperative patients as the routine examination.Among 18 cases,16 cases could be confirmed preoperatively; highly suspected in 2 cases.Complete resection under the microscope is 17 cases,and vertebral fusion surgery was also done in 2 cases,and all of cases recovered well.Conclusions The clinical manifestations and characteristics of imaging of enterogenous cyst were typical.Microsurgical technique is proper surgical approach which is crucial to total remove and heal intraspinal enterogenous cysts.Tumor invasion of the vertebral body,pedicle or affected intervertebral joint cases more than two segments,after subtotal lesions,corresponding vertebral fixation should be performed in order to maintain the stability of the spine.