CT引导经皮穿刺注射生物蛋白胶治疗骶管囊肿的疗效分析  

CT-guided percutaneous injection of fibrin glue thereapy for sacral meningeal cysts

作　　者：宋阳[1] 赵丽[1] 朱本藩[1] 赵家贵[1] 陈家骅[1] 

机构地区：[1]安徽医科大学第一附属医院麻醉科,安徽合肥230022

出　　处：《安徽医药》2011年第6期715-717,共3页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省卫生厅资助课题(No09A092)

摘　　要：目的探讨CT引导经皮穿刺注射生物蛋白胶(FG)治疗骶管囊肿的操作方法及其疗效。方法对于有临床症状骶管囊肿20例患者在CT引导下定位穿刺并注入非离子型造影剂(碘海醇),依据囊肿与蛛网膜下腔是否相通分为A(n=12)、B(n=8)两组,通过Oswestry和VAS评分、MRI评价比较治疗前和治疗后临床疗效。结果所有患者治疗后Oswestry、VAS评分较治疗前明显降低(P<0.05),术后1个月随访,两组有效率分别为83.33%和87.5%。术后1个月复查MRI示囊肿消失。结论 CT引导下经皮穿刺注射FG治疗骶神经根囊肿,具有微创操作、安全有效、并发症少等优点。Aim To evaluate curative effect of computed tomography（CT）-guided percutaneous injection of fibrin glue to treat meningeal cysts of the sacral spine.Methods The 20 cases of sacral cyst patients with clinical symptoms,were injected by non-ionic contrast agent（Iohexol）.By CT-myelography visualized the communication between the cyst cavity and the subarachnoid space,12 cases of communication（group A）,8 cases of no communication（group B）.We assessed outcomes by the change of oswestry score,VAS pain scoring and MR imaging from 3days to 1 month after surgery.Results 20 patients were followed up after 1 months,oswestry score,VAS pain scoring were obviously decreased after the operation（P0.05）.The marked effective rate was 83.33% in the group A,87.5% in the group B.1 month after the operation,MRI showed an absence of the cysts.Conclusion CT-guided percutaneous injection of fibrin glue treatment of sacral cyst has advantages of minimally invasive operation,safe and reliable,low incidence of complications,etc.

关 键 词：骶管囊肿 经皮穿刺 纤维蛋白粘合剂 

分 类 号：R681.5[医药卫生—骨科学] R816.8[医药卫生—外科学]