儿童椎管内肠源性囊肿的诊治体会

目的 总结儿童椎管内肠源性囊肿的临床特点和治疗经验。方法 回顾性分析我院6例儿童椎管内肠源性囊肿的临床、影像学资料。结果 本组6例均有肢体活动障碍，4例伴有神经根性疼痛，5例感觉障碍。囊肿位于颈段4例，胸段2例。MRI检查表现为稍长T1、长T2均匀信号。5例作全切或大部切除术，1例行部分切除术。5例术后神经功能恢复良好。结论 儿童椎管内肠源性囊肿是少见的先天性疾患，多发生于颈段椎管硬膜下脊髓腹侧。MRI是有效的检查工具。早期诊断和显微手术是治疗的最佳方案。

Retrospective Analysis of Intraspinal Enterogenous Cyst in Children

Objective to summarize the clinical characteristic and therapeutic experience of intraspinal enterogenous cyst in children. Methods The clinical and imaging manifestations of 6 patients were restrospectively analyzed. Results Paresis was appeared in all cases, and radicular pain in 4 cases, sense hindrance in 5 cases, 4 cases of cysts located in the cervical segment and 2 in thoracic segment. These cysts showed as slightly long T1 ,long T2 homogeneous signal on MRI. 5 cases of the cysts were total or sub-total removal,their neurological function was improved steadily after surgery in 5 cases. Conclusions Intraspinal enterogenous cyst is rare congenital lesions, often canal subdual ventro-spinal cord. MRI is a more effective method for image occurred at the ventebral investigation.Usually early resection of the cyst, neurological functioncould recovery.So that,the best therapeutic measure is early diagnosis and removal the Cyst with microsurgery technique.