[1]郭朋坤　何少宇　刘孙江　段奎甲　赵　毅　杨智勇　宋晓斌.骶管重建在症状性骶管囊肿后路手术中的应用[J].中国临床神经外科杂志,2016,(02):85-86.[doi:10.13798/j.issn.1009-153X.2016.02.008]
　GUO Peng-kun,HE Shao-yu,LIU Sun-jiang,et al.Applications of sacral laminoplasty to surgery via posterior approach for symptomatic Tarlov cysts[J].,2016,(02):85-86.[doi:10.13798/j.issn.1009-153X.2016.02.008]
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骶管重建在症状性骶管囊肿后路手术中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年02期
页码:
85-86
栏目:
论著
出版日期:
2016-02-25

文章信息/Info

Title:
Applications of sacral laminoplasty to surgery via posterior approach for symptomatic Tarlov cysts
文章编号:
1009-153X（2016）02-0085-02
作者:
郭朋坤　何少宇　刘孙江　段奎甲　赵　毅　杨智勇　宋晓斌
650032 昆明，昆明医科大学第一附属医院神经外科
通讯作者：宋晓斌，E-mail：sxb8@sina.com
Author(s):
GUO Peng-kun;  HE Shao-yu;  LIU Sun-jiang;  DUAN Kui-jia;  ZHAO Yi;  YANG Zhi-yong;  SONG Xiao-bin.
Department of Neurosurgery, The First Affiliated Hospital, Kunming Medical University, Kunming 650032, China
关键词:
骶管囊肿; 后路手术; 骶管重建; 椎板切除术; 疗效
Keywords:
Tarlov cyst;  Sacral laminoplasty;  Laminectomy
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.02.008
文献标志码:
A
摘要:
目的 探讨骶管重建在症状性骶管囊肿后路手术中的应用效果。方法 2010~2015年采用骶骨开窗后路手术治疗症状性骶管囊肿21例，其中12例术中行骶管重建（A组），9例未行骶管重建（B组）。结果 A组术后脑脊液漏发生率（0）明显低于B组（33.3%，3/9；P<0.05）。术后随访6个月，术后a组11例症状明显缓解，1例稍缓解；b组8例明显缓解，1例稍缓解；均未发生囊肿复发。>结论 症状性骶管囊肿后路手术可有效缓解患者症状，术中进行骶管重建可减少术后脑脊液漏发生几率。
Abstract:
Objective To investigate the applications of sacral laminoplasty to posterior laminectomy for symptomatic Tarlov cysts. Method The clinical data of 21 patients with symptomatic Tarlov cysts underwent surgery via posterior approach were analyzed retrospectively. Results Of 21 patients with symptomatic Tarlov cysts, 12 received sacral laminoplasty and 9 not. Postoperative cerebro- spinal fluid (CSF) leakage did not occur in the patients receiving the sacral laminoplasty and the postoperative CSF leakage occurred in 3 patients without the sacral laminoplasty. There was significant difference in the occurrence rates of CSF leakage between both the groups (P<0.05). the="" symptoms="" were="" significantly="" relieved="" in="" 11="" and="" lightly="" 1="" of="" patients="" receiving="" sacral="" laminoplasty="" 8="" without="" laminoplasty.="" no="" cysts="" recurred="" both="" groups.="">Conclusions The posterior laminectomy can effectively relieve symptoms and the sacral laminoplasty can decrease the occurrence of CSF leakage after the posterior laminectomy in the patients with symptomatic Tarlov cysts.

参考文献/References:

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[4] Smith ZA, Li Z, Raphael D, et al. Sacral laminoplasty and cystic fenestration in the treatment of symptomatic sacral perineural (Tarlov) cysts: technical case report [J]. Surg Neurol Int, 2011, 2(1): 129.
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[7] 赵虎威，王贤德，蒲晓莉，等. 囊壁大部分切除并骶棘肌条 植入治疗骶管内蛛网膜囊肿23例临床体会[J]. 中国临床 神经外科杂志，2008，13：493-494.
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更新日期/Last Update: 2016-02-25