小儿椎管内肠源性囊肿的显微手术治疗  

Microsurgical treatment of intraspinal enterogenous cysts in children ZHAI Guang

作　　者：翟广[1] 刘斌[2] 张智峰[1] 刘献志[1] 

机构地区：[1]郑州大学第一附属医院神经外科,450052 [2]广东汕头大学医学院第二附属医院神经外科

出　　处：《中华神经外科杂志》2013年第6期565-567,共3页Chinese Journal of Neurosurgery

摘　　要：目的总结12例小儿椎管内肠源性囊肿的显微手术经验。方法回顾性分析2005年1月至2012年4月收治的12例椎管内肠源性囊肿患儿的临床表现、显微手术过程及治疗效果。结果12例囊肿均行显微手术切除，全切7例，次全切5例。所有病例临床症状及神经功能短期内均有改善。随访4个月至6年，除1例单侧下肢肌力Ⅳ级外，其余均恢复正常。随访期间无复发。结论显微手术切除是治疗椎管内肠源性囊肿惟一有效方法，全切或次全切均能达到满意的疗效。正确的显微手术操作是取得满意疗效及避免并发症的保证。Objective To stmmmize the microsurgical treatment of intmspinal enterogenous cysts in 12 children cases. From January 2005 to April 2012, 12 children with intraspinal enterogerlous cysts were treated in our department Clinical data of patients including clinical manifestations, image features, microsurgery, and therapeutic outcom were analyzed retrospectively. s Microsurgery was delivered to all patients： 7 received total removal while the rest received subtotal rerrtwal. Significant improvements in neurological functions were found in all cases in theearly stage after operation. tne patients were followed up from 6 ths to 4 years, all of them recovered from motor deficits and sensory disorders except that one patient improved his myodynmnia of unilateral lower extremity from gradeI of pre-operafian to gradelV. No recurrence occurred during the time of follow-ulx Conclusions Intraspinal enterogenous cyst is a kind of congenital abnorrmlity, microscopic reson is the only effective method of ueatwent for intraspinal enterngenous cyst, and total or subtotal removal of the cyst wall can offer a favorable outcom Proper microsurgical manipulation can provide a guarantee for reaching satisfactory effects and avoiding complications.

关 键 词：肠源性囊肿 椎管内肿瘤 显微外科手术 

分 类 号：R726[医药卫生—儿科]