20例骶管囊肿类型分析及发生机制的探讨  

Type and occurrence mechanism for sacral meningeal cysts

作　　者：宋阳[1] 陈家骅[1] 赵丽[1] 朱本藩[1] 赵家贵[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》2012年第3期320-322,共3页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省卫生厅基金项目(No09A092)

摘　　要：目的骶管囊肿20例的类型分析及发生机制。方法 20例骶管囊肿病人在CT引导下经皮穿刺并注入非离子型造影剂(碘海醇),行囊肿造影;并在穿刺成功后、注入非离子型造影剂前、后三个不同时间点各抽取囊肿液2～5 ml进行实验室检查。结果 20例患者造影后显示12例囊肿与蛛网膜下腔相通,8例不相通;相通与不相通组比较氯离子、蛋白质含量有差异,不同时间点之间氯离子含量有差异。结论骶管囊肿可能分为囊肿与蛛网膜下腔相通型及不相通型两大类。Objective To investigate the type and occurrence mechanism for sacral meningeal cysts.Methods 20 cases of sacral cyst patients were injected with non-ionic contrast agent（Iohexol） by CT-myelography visualized percutaneous puncture for cyst imaging,and at three different time points,which are after the successfully piercing,before and after injection of non-ionic contrast agent,2~5 ml of cyst liquid were extracted on laboratory tests.Results After angiography 12 cases of cyst showed communication with subarachnoid,8 cases without communication.There were differences in chlorideion and protein,and chlorideions were different at different time points.Conclusion Sacral canal cyst can be divided into cyst and subarachnoid interlinked type and true arachnoid cyst.

关 键 词：骶管 囊肿 经皮穿刺 

分 类 号：R651[医药卫生—外科学]