骶部硬膜外囊肿的诊断与治疗  

Diagnosis and treatment of sacral epidural cyst

作　　者：李皓桓[1] 刘世清[1] 彭昊[1] 范里[1] 

机构地区：[1]武汉大学人民医院骨科,430060

出　　处：《临床外科杂志》2006年第10期649-650,共2页Journal of Clinical Surgery

摘　　要：目的 探讨骶部硬膜外囊肿的诊疗方法。方法 2000年6月至2005年6月间，运用MRI诊断骶部硬膜外囊肿25例。21例伴有神经症状体征者行手术治疗。结果 14例患者进行为期6～30个月（平均18个月）随访，术后神经症状缓解、消失；1例术后12个月出现腰骶部酸胀感，但不影响生活和工作，并无症状加重。结论 骶部硬膜外囊肿的发生多由先天性硬脊膜缺陷所致。其诊断依赖于病史、临床表现及MRI资料。有严重症状者需行手术治疗。术式以切除囊肿、肌肉填塞封堵交通孔为宜。Objective To study the diagnosis and treatment of sacral epidural cyst. Methods Between June 2000 to June 2005,25 cases were diagnosed as sacral epidural cysts. Twenty - one cases of neurological entrapment received surgical treatment. Results Fourteen cases were studied with a mean follow- up of 18 months, and all those cases got a well neurological symptom release;Sacral area pain occurred in 1 case, however, no further deterioration followed with full capability to self - care and work. Conclusion The cyst seems to he a result of congenital defect of the thecal dura. A definitive diagnosis should be established on the bases of history, clinical symptom and MR images. For those with se- rious neuropathothy,operation is indicated. Excision of most of the cyst wall and plugging the communication hole with a block of muscle seems to be an optical surgical method.

关 键 词：硬膜外囊肿 骶部 诊断 治疗 

分 类 号：R681.5[医药卫生—骨科学]