摘要
目的研究神经束膜囊肿的临床表现及影像学特点,确定适宜的治疗方法.方法对6例神经束膜囊肿患者的临床特点、治疗方法进行回顾性分析.结果6例患者,其中3例术后骶神经疼痛症状消失,2例明显减轻,1例以麻木表现者无明显变化,憋气及改变体位时无明显疼痛.3例2～3个月恢复.随访2个月～5年,未见囊肿复发.结论神经束膜囊肿临床少见,MRI仍是最灵敏、最有效的诊断方法.对于有典型骶神经根症状的患者,采用显微外科技术,行囊肿切除或部分切除、囊肿内减压术,可显著改善临床症状.
Objective To evaluate clinical manifestations and imageological features of sacral perineural cyst and find appropriate therapies. Methods 6 patients with sacral perineural cyst admitted from May 1999 to April 2004 were analyzed retrospectively. All patients presented with radicular pain that was refractory to medication. Sacral laminectomies with microsurgical cyst resection or fenestration were performed for all 6 patients. Results Radicular pain was alleviated markedly in 3 cases and moderately in 2 cases but no improvement happened in 1 case with local numbness after surgery. 4 of 6 cases had local sensory deficits after surgery, but 3 of them recovered within 2~3 months. Follow-up was performed for all cases from 2 months to 5 years, with no complications. Conclusion MRI findings are useful in the diagnosis of sacral perineural cyst. Persistent pain, onset of sensory deficits, impotence, or incontinence, indicates the need of surgery. Microsurgical cyst resection or fenestration is effective in relieving refractory radicular pain and urinary incontinence associated with sacral perineural cyst.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第3期279-280,共2页
Chinese Journal of Neuromedicine
