颈段椎管内神经管原肠囊肿的临床特点和显微手术  

Clinical Characteristics and Microsurgery of Cervical Intravertebral Neurenteric Cysts

作　　者：刘宁[1] 刘宗霖[1] 张志强[1] 程新富[1] 

机构地区：[1]中国人民解放军第161中心医院神经外科,武汉430010

出　　处：《南昌大学学报（医学版）》2013年第4期54-56,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨颈椎管内神经管原肠囊肿(NC)的诊治方法。方法回顾性分析8例颈椎管内NC的临床表现、MRI特点和手术结果。结果 8例均有不同程度的肢体活动障碍,6例伴有神经根痛,1例病程大于2年者,症状发作性出现,可自行缓解。囊肿表现为等或长T1、长T2均匀MRI信号。8例在显微镜下经后外侧入路切除囊肿,5例全切,3例次全切,所有病例术后神经功能恢复良好。结论颈椎管内NC的确诊有赖于病理及免疫组织化学检查,手术应在保留脊髓功能的前提下尽可能全切囊壁,预后良好。Objective To investigate the diagnosis and treatment of cervical intravertebral neurenteric cysts. Methods The clinical manifestations,MRI characteristics and surgical results of 8 cases of cervical intravertebral neurenteric cysts were analyzed retrospectively. Results Limb movement disorder occurred in all cases and radicular pain in 6 cases.Symptoms were episodic in 1 patient whose disease course was more than 2 years.Cysts showed equal or long T1 and long T2 homogeneous signals on MRI.All cases received the excision of cysts through a posterolateral approach.Neurological functions improved steadily after complete resection in 5 cases and after subtotal resection in 3 cases.Conclusion The diagnosis of cervical intravertebral neurenteric cysts depends on histopathological and immunohistochemical examination.Complete removal of cystic walls should be performed based on the reservation spinal function and may be associated with a good prognosis in patients with cervical intravertebral neurenteric cysts.

关 键 词：椎管内 神经管原肠囊肿 肠源性囊肿 显微手术 

分 类 号：R651.2[医药卫生—外科学]