| 20例骶管内蛛网膜囊肿的诊治 |
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| 引用本文： | 苏辉,潘隆盛,张远征,乔广宇,尚爱加,许百男.20例骶管内蛛网膜囊肿的诊治[J].军医进修学院学报,2010,31(4):305-306. |
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| 作者姓名： | 苏辉 潘隆盛 张远征 乔广宇 尚爱加 许百男 |
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| 作者单位： | 解放军总医院,神经外科,北京,100853 |
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| 摘 要： | 目的探讨骶管内蛛网膜囊肿的诊断和治疗。方法回顾分析20例骶管内蛛网膜囊肿的临床表现、核磁共振（MRI）特点和手术效果。结果20例中12例全切,8例次全切;随访2月～2年,神经功能恢复,无复发。结论骶管内蛛网膜囊肿多发于硬脊膜外背侧方,常合并骶管先天性畸形或腰椎间盘突出,MRI是有效的检查方法,显微镜直视下行囊肿壁切除术有利于神经的充分减压和保护,并能同时处理合并的腰椎间盘突出及畸形,＂交通孔＂结扎、囊腔填塞能有效防止复发。
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| 关 键 词： | 蛛网膜囊肿 外科手术 诊断 |
Diagnosis and treatment of sacral arachnoid cysts in 20 patients |
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| SU Hui,PAN Long-sheng,ZHANG Yuan-zheng,QIAO Guang-yu,SHANG Ai-jia,XU Bai-nan.Diagnosis and treatment of sacral arachnoid cysts in 20 patients[J].Academic Journal of Pla Postgraduate Medical School,2010,31(4):305-306. |
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| Authors: | SU Hui PAN Long-sheng ZHANG Yuan-zheng QIAO Guang-yu SHANG Ai-jia XU Bai-nan |
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| Institution: | SU Hui,PAN Long-sheng,ZHANG Yuan-zheng,QIAO Guang-yu,SHANG Ai-jia,XU Bai-nan Department of Neurosurgery,Chinese PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To explore the diagnosis and treatment of sacral arachnoid cysts. Methods A retrospective analysis of the clinical manifestations, MRI features, and surgical outcome was conducted in 20 patients with sacral arachnoid cysts. Results Of the 20 patients, 12 and 8 underwent total and subtotal resection of the cysts, respectively. Neurological functions were improved with no relapse of cysts during the 2-24 months follow-up period. Conclusion Sacral arachnoid cyst typically occurs at a dorsal extradura... |
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| Keywords: | Arachnoid Cysts Surgical Procedures Operative Diagnosis |
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