症状性骶管囊肿的显微外科手术治疗

目的探讨症状性骶管囊肿的手术治疗方法。方法选择我院2000年1月~2012年4月收治的症状性骶管囊肿患者15例,采用在显微镜下切除部分囊壁,并用腰背筋膜及生物胶严密修补交通孔的手术方法,观察治疗效果。结果术后无脑脊液漏及感染发生,经复查腰骶椎MRI示囊肿消失,术后随访3个月~5年,均未见囊肿复发,临床症状完全缓解13例,部分缓解2例,所有患者均恢复了正常工作和生活。结论术中在显微镜下仔细寻找到交通孔、切除部分囊壁并用腰背筋膜及生物胶严密修补交通孔是治疗症状性骶管囊肿的一种理想方法。

Treatment of microsurgery in symptomatic sacral canal cysts

Objective To investigate the microsurgical treatment in patients with symptomatic sacral canal cysts.Methods 15 cases of symptomatic sacral canal cyst patients in our hospital from January 2000 to April 2012 were selected,all the patients were treated with excision of the partial cyst wall and mended the communicating hole with a piece of lumbar back fascia and fibrin glue closely,therapecutic effect was observed.Results Cerebrospinal fluid leakage and infection were not found,the cysts were disappeared and found no recrudesce according to the review of lumbosacral vertebrae MRI during the follow-up visit for 3 months to 5 years.13 cases were found recovered completely and 2 cases were found recovered partly.All patients were found returned their daily work and life.Conclusion This method of finding the communicating hole carefully,removing the partial cyst wall and repairing the communicating hole with a piece of lumbar back fascia and fibrin glue closely under the microscope is a satisfying technique to treat symptomatic sacral canal cyst.