骶管囊肿伴脊髓拴系的显微外科治疗

目的评价骶管内囊肿伴有脊髓拴系显微外科治疗的效果。方法选择35例骶管内囊肿伴脊髓栓系患者,行神经系统检查和MRI检查,并行显微外科手术。术后评价：①按疗效包括显效、有效、无效和加重进行评定;②按复查后MRI影像学表现。结果手术疗效：显效14例（40%）,有效20例（57.1%）,无效1例（2.8%）,加重0例（0%）。复查MRI结果：影像学检查显示脊髓均有不同程度的上移,囊肿均无复发。结论显微外科手术对脊髓拴系伴有骶管内囊肿的同时治疗是可能的,并且是有效的方法。

Microsurgery treatment for sacral cyst complicated with tethered cord syndrome

Objective To evaluate the efficacy of microsurgical treatment by analyzing the clinical data of 35 cases of sacral cyst complicated with tethered cord syndrome. Methods Microsurgery was performed for all patients after nervous system physical examination and MRI. These examinations were repeated after the operation ①The efficacy was graded as excellent,improved, no change and aggravation by comparing the pre-and post operative MRI. Results Operative efficacy was excellent in 14cases （40%）, improved in 20cases （57.1%）, unchanged in 1 cases （2.8%） and none was in the aggravationgroup （0%）. The post-operative MRI results of the 35 case showed that the spinal cord were shifted upward in different degrees and no cyst recurrence were diacovered during follow-up. Conclusion Microsurgery cure for sacral cyst complicated with tethered cord syndrome is possible and effective.