小儿椎管内肠源性囊肿的诊断与治疗  

Intraspinal enterogenous cyst in children

作　　者：王诚[1] 袁波[1] 刘胜[1] 鲍圣德[2] 齐辉[1] 

机构地区：[1]北京大学深圳医院神经外科,深圳518036 [2]北京大学第一医院神经外科

出　　处：《中华小儿外科杂志》2005年第6期311-313,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨小儿椎管内肠源性囊肿的临床表现、MRI影像及显微手术治疗。方法回顾性分析1996年至今8年间5例椎管内肠源性囊肿的临床资料,并结合文献加以分析。结果全部病例采用显微外科手术治疗,其中2例全切,2例次全切除,1例大部切除。无一例死亡,经病理报告证实均为肠源性囊肿,术后神经根痛症状基本消失。随访0.5～2年,无一例复发;格拉斯哥预后评分,良好恢复4例,中残1例;脊髓损伤的Frankel分级,E级4例,D级1例。结论小儿椎管内肠源性囊肿有典型的临床表现和MRI特征,作为一种先天性病变,其最佳治疗方法是早期确诊并采取显微外科手术方法切除。Objective To review the management of intraspinal enterogenous cyst in children. Methods The clinical data of 5 patients with intraspinal enterogenous cysts managed in the last 8 years were analyzed retrospectively. Results Four cysts were in subdural extramedullar space ventral to spinal cord. One cyst was located in subdural extramedullar space dorsal to lower cervical spinal cord. The clinical manifestations include nerve root pain and signs of spinal compression. All 5 cases were managed with microsurgery. Total surgical removal was achieved in 2 cases, subtotal removal in 2 cases and partial resection in one. There was no mortality. All the patients had satisfactory outcome following surgery. According to Frankle Grade for Spinal Cord Injury, four patients had complete recovery of all motor and sensory functions and one recovery was incomplete. Four patients had good Glasgow Outcome Score (GCS) and one moderate. Conclusions Intraspinal enterogenous cyst in children has typical clinical manifestations and MRI characteristics. The best therapeutic measure is early diagnosis and removal with microsurgery technique at early stage.

关 键 词：椎管内肠源性囊肿 诊断与治疗 小儿 格拉斯哥预后评分 FRANKEL 显微手术治疗 外科手术治疗 外科手术方法 临床表现 MRI影像 1996年 回顾性分析 MRI特征 先天性病变 临床资料 次全切除 大部切除 病理报告 神经根痛 脊髓损伤 

分 类 号：R726.5[医药卫生—儿科]