摘要
目的总结椎管内皮样和表皮样囊肿的临床特点和治疗经验。方法回顾分析2003～2010年来我科收治的6例低龄椎管内皮样囊肿和2例表皮样囊肿的临床资料。结果本组病例中8例平均年龄为10.6岁,男4例,女4例。囊肿位于胸段2例,胸腰段2例,腰骶段及马尾部4例,1例皮样囊肿伴背部皮肤窦道;术前尿动力学、肛周肌电图、下肢电生理检查多有异常;给予神经电生理监护下进行手术全切及椎板复位重建。结论椎管内皮样和表皮样囊肿为良性病变,早期诊断和手术是最佳的治疗选择,完整切除囊肿及椎板复位重建、积极康复对预后均有帮助。
Objective To summahze the clinical features and the treatment experience of the endothelial and epidermal cyst-like in spinal canal. Methods Review to analyze the clinical data that 6 cases of the young endothelial cyst and 2 cases of epidermoid cysts were treated in our department from 2003 to 2010. Results the mean age of 8 treated patients in our department was 10.6 years old,4 male patients and 4 female patients. There were 2 cases lie in the thoracic,2 cases lie in thoracolumbar, and 4 cases in lumbosacral cauda equine, I case of dermoid sinus cyst with back skin ： pre-operative urodynamics, anal EMG, multi-leg Electrophysiology in 8 cases were abnormal ; given tile supervision under of neurophysiological surgery full-cut and reset the recon- struction of the lamin. Conclusion The canal endothelial-like and epidermal cysts are benign lesions, the early diagnosis and sur- gery treatment is the best treatment option, the compoete resection of the cyst, the reset reconstrucuon of lamina and active rehabili- ation are helpful to prognosis of the Endothelial-like and spinal epidermoid cyst.
出处
《四川医学》
CAS
2011年第12期1941-1943,共3页
Sichuan Medical Journal
