摘要
目的 探讨脊髓肠源性囊肿的临床、组织病理及形态学特点。方法 回顾性分析自 1983年至 2 0 0 3年 11例脊髓肠源性囊肿病例。临床表现为病变相应部位的神经根性疼痛和脊髓压迫症状。 11例患者的影像学分别为髓外型 6例、髓内型 3例和哑铃型 2例。结果 全部手术的 11例患者中 ,7例全切 (均为髓外型和哑铃型 ) ,4例次全和部分切除。 5例神经根痛症状明显减轻或消失 ,下肢肌力减弱 2例明显改善 ,2例无变化。 1例术前截瘫患者 ,术后 1周肌力恢复为Ⅲ~Ⅳ级。尿失禁 1例术后无明显变化。结论 肠源性囊肿早期采取手术切除 ,是治疗此病的最佳方法。
Objective To investigate the clinical, morphological and radiological study of spinal enterogenous cysts.Methods Eleven cases of spinal enterogenous cysts were summarized admitted to Xijing hospital during the 1983 to 2003. The clinical manifestations showed the pain of nerve root and signs of spinal compression. The radiography showed the tumor location: intradural extramedullary 6 cases, intramedullary 3 cases, dumbbell-shape 2 cases.Results All the patients were operated. Total removal of the enterogenous cysts was carried out in 7 cases. The remaining had subtotal or partial removal of the enterogenous cysts. The pain of the nerve roots was released or disappeared in 5 cases, the weakness of the limb was improved in 2 cases, no changed in 2 cases. One paraplegia patient was recovery after the operation within one week. One urinary incontinence patient was not improved.Conclusion Enterogenous cyst is a kind of benign tumor. The best way is to remove the tumor by operationat at early stage.
出处
《中华神经外科疾病研究杂志》
CAS
2004年第2期111-113,共3页
Chinese Journal of Neurosurgical Disease Research
基金
陕西省科技发展研究计划资助项目 (99K1 3 -G1 0 )