骶管重建在症状性骶管囊肿后路手术中的应用

目的 探讨骶管重建在症状性骶管囊肿后路手术中的应用效果。方法 2010~2015年采用骶骨开窗后路手术治疗症状性骶管囊肿21例，其中12例术中行骶管重建（A组），9例未行骶管重建（B组）。结果 A组术后脑脊液漏发生率（0）明显低于B组（33.3%，3/9；P<0.05）。术后随访6个月，术后a组11例症状明显缓解，1例稍缓解；b组8例明显缓解，1例稍缓解；均未发生囊肿复发。>结论 症状性骶管囊肿后路手术可有效缓解患者症状，术中进行骶管重建可减少术后脑脊液漏发生几率。

Applications of sacral laminoplasty to surgery via posterior approach for symptomatic Tarlov cysts

Objective To investigate the applications of sacral laminoplasty to posterior laminectomy for symptomatic Tarlov cysts. Method The clinical data of 21 patients with symptomatic Tarlov cysts underwent surgery via posterior approach were analyzed retrospectively. Results Of 21 patients with symptomatic Tarlov cysts, 12 received sacral laminoplasty and 9 not. Postoperative cerebro- spinal fluid (CSF) leakage did not occur in the patients receiving the sacral laminoplasty and the postoperative CSF leakage occurred in 3 patients without the sacral laminoplasty. There was significant difference in the occurrence rates of CSF leakage between both the groups (P<0.05). the="" symptoms="" were="" significantly="" relieved="" in="" 11="" and="" lightly="" 1="" of="" patients="" receiving="" sacral="" laminoplasty="" 8="" without="" laminoplasty.="" no="" cysts="" recurred="" both="" groups.="">Conclusions The posterior laminectomy can effectively relieve symptoms and the sacral laminoplasty can decrease the occurrence of CSF leakage after the posterior laminectomy in the patients with symptomatic Tarlov cysts.