Tarlov囊肿壁切除瘘口封闭后脂肪填塞治疗的临床效果研究  

The clinical effect of the treatment of sacral canal Tarlov cyst wall resection and fat filling after fistula closure

作　　者：朱强[1] 李全春[1] 胡国良[1] 衣志刚[1] 张远征[1] ZHU Qiang;LI Quan-chun;HU Guo-Liang;YI Zhi-gang;ZHANG Yuan-zheng(Department of Neurosurgery,Affiliated Hospital of Yan′an University,Yan′an 716000,China)

机构地区：[1]延安大学附属医院神经外科,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2020年第3期27-30,共4页Journal of Yan'an University:Medical Science Edition

摘　　要：目的研究骶管Tarlov囊肿临床特点及囊肿壁切除加瘘口封闭后脂肪填塞手术方式的临床治疗效果。方法回顾性分析32例有症状的骶管囊肿临床和影像学特点,按Tarlov囊肿的类型不同,采取囊肿漏口结扎并囊壁切除,或囊肿壁大部分切除加神经根袖套的塑形,后用带蒂脂肪填塞囊肿遗留的残腔。结果术后早期32例患者中28例症状缓解。出院后随访30例6~42个月(平均12月),复查MRI囊肿未见复发,28例患者症状消失或明显改善,2例仍存在骶尾部疼痛及麻木不适感,但不影响生活及工作。结论对症状型Tarlov囊肿患者采取囊肿壁切除加瘘口封闭后脂肪填塞治疗的手术方式是安全有效的,值得临床推广。Objective To explore the clinical features and surgical treatment of symptomatic Tarlov cysts.Methods The clinical data of 32 patients with symptomatic Tarlov cysts in our department were analyzed retrospectively.Surgery procedures,including excision of the cyst combined with direct dural closure or partial cyst excision and plication of the cyst wall,should be selected according to different types of cysts.Results In the early postoperative period,28 of the 32 patients were relieved of symptoms.After discharge,30 cases were followed up for 6 to 42 months(average 12 months).Re-examination of MRI showed no recurrence of cysts.28 cases had disappeared or improved significantly,and 2 cases still had sacrococcygeal pain and numbness,but they did not affect life and work.Conclusion Microsurgery is recommended to symptomatic Tarlov cysts.Surgery procedures,including excision of the cyst combined with direct dural closure or partial cyst excision and plication of the cyst wall,should be selected according to different types of cysts.

关 键 词：骶管囊肿 分型 显微手术 

分 类 号：R651.1[医药卫生—外科学]