摘要
目的探讨CT引导下经椎板穿刺注射医用生物蛋白胶(FG胶)治疗骶神经根囊肿的疗效。方法1998年4月～2001年2月,采用CT引导下经椎板穿刺FG胶注射治疗骶神经根囊肿38例,其中L5S112例,S1,215例,S2,311例。单发31例,多发7例。采用CT引导定位,局麻下用骨穿针将相应的椎板穿透,用腰穿针穿入神经根囊肿内,注入医用生物蛋白胶。结果全部病例获得随访,随访时间3～37个月,平均9个月。术后腰骶部疼痛、间歇性跛行和骶神经根刺激症状均得到不同程度缓解,无感染、神经损伤和脑脊液漏发生。根据临床症状改善程度和影像学变化制订评定标准,结果为优17例(44.7%)、良18例(47.4%)、可3例(7.9%),优良率达92.1%。结论CT引导下经椎板穿刺FG胶注射治疗骶神经根囊肿,具有微创操作、安全可靠、疗效明显、住院时间短、费用低等优点。
Objective To study the effect of fibrin gel delivered with CT g ui ded trans-laminar injection on sacral nerve root sheath cysts. Methods From Apri l 1998 to February 2001, thirty-eight cases of sacral nerve root sheath cysts we re treated by fibrin gel injection. The location of cysts consisted of 12 L5 S1, 15 S1,2, 11 S2,3. All the fibrin gel was delivered by CT guided trans-laminar i njection. Results Thirty-eight cases were followed up for 3 to 37 months (averag e 9 months). Most of the patients obtained lower back and sacral pain and sacral nerve symptom alleviation. No infection, nerve injury, recurrence and cerebrosp inal fluid(CSF) leaking occurred. According to the critia of the clinic symptom releasing and the radiographic signs, there were 17 cases (44.7%) rated as excel lent, 18 (47.4%) good and 3 (7.9%) fair, the excellent and good rate was 92.1%. Conclusion CT-guided trans-laminar fibrin gel injection is an effective economic al and mini-invasive way to treat sacral nerve root sheath cysts.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2003年第4期223-225,共3页
Chinese Journal of Orthopaedics
