椎管内皮样及表皮样囊肿诊断及治疗

目的总结椎管内皮样和表皮样囊肿的临床特点和治疗经验。方法回顾分析2003～2010年来我科收治的6例低龄椎管内皮样囊肿和2例表皮样囊肿的临床资料。结果本组病例中8例平均年龄为10．6岁，男4例，女4例。囊肿位于胸段2例，胸腰段2例，腰骶段及马尾部4例，1例皮样囊肿伴背部皮肤窦道；术前尿动力学、肛周肌电图、下肢电生理检查多有异常；给予神经电生理监护下进行手术全切及椎板复位重建。结论椎管内皮样和表皮样囊肿为良性病变，早期诊断和手术是最佳的治疗选择，完整切除囊肿及椎板复位重建、积极康复对预后均有帮助。

Endothelial-like and spinal epidermoid cyst diagnosis and treatment

Objective To summahze the clinical features and the treatment experience of the endothelial and epidermal cyst-like in spinal canal. Methods Review to analyze the clinical data that 6 cases of the young endothelial cyst and 2 cases of epidermoid cysts were treated in our department from 2003 to 2010. Results the mean age of 8 treated patients in our department was 10.6 years old,4 male patients and 4 female patients. There were 2 cases lie in the thoracic,2 cases lie in thoracolumbar, and 4 cases in lumbosacral cauda equine, I case of dermoid sinus cyst with back skin ： pre-operative urodynamics, anal EMG, multi-leg Electrophysiology in 8 cases were abnormal ; given tile supervision under of neurophysiological surgery full-cut and reset the recon- struction of the lamin. Conclusion The canal endothelial-like and epidermal cysts are benign lesions, the early diagnosis and sur- gery treatment is the best treatment option, the compoete resection of the cyst, the reset reconstrucuon of lamina and active rehabili- ation are helpful to prognosis of the Endothelial-like and spinal epidermoid cyst.