采用囊肿-蛛网膜下腔分流术治疗的骶管囊肿：一例技术病例报告
Sacral cyst managed with cyst-subarachnoid shunt: a technical case report.
作者信息
Morio Y, Nanjo Y, Nagashima H, Minamizaki T, Teshima R
机构信息
Department of Orthopaedic Surgery, Tottori University, Faculty of Medicine, Yonago, Japan.
出版信息
Spine (Phila Pa 1976). 2001 Feb 15;26(4):451-3. doi: 10.1097/00007632-200102150-00025.
STUDY DESIGN
This report describes the cyst-subarachnoid shunt, a novel surgical treatment, for sacral cysts.
OBJECTIVE
To introduce a new surgical technique for sacral cysts.
SUMMARY OF BACKGROUND DATA
There is no consensus on the appropriate treatment for symptomatic sacral cysts. The hydrostatic and pulsatile forces of cerebrospinal fluid are attributed to the growth of the cyst and their becoming symptomatic.
METHODS
The clinical and radiologic features of a 41-year-old man with a symptomatic sacral cyst are detailed. A cyst-subarachnoid shunt was set to equalize the cerebrospinal fluid pressure between the cephalad thecal sac and the cyst.
RESULTS
Immediately after surgery, the patient had no pain in his left leg and was free of pain at 2 years. Magnetic resonance imaging 1 year after surgery showed a decrease in the size of the cyst.
CONCLUSION
Although this is a preliminary study, a cyst-subarachnoid shunt can be a useful alternative for symptomatic sacral cysts.
研究设计
本报告描述了一种用于骶管囊肿的新型手术治疗方法——囊肿-蛛网膜下腔分流术。
目的
介绍一种治疗骶管囊肿的新手术技术。
背景数据总结
对于有症状的骶管囊肿的适当治疗方法尚无共识。脑脊液的静水压和搏动压力被认为与囊肿的生长及其出现症状有关。
方法
详细描述了一名41岁有症状骶管囊肿男性患者的临床和影像学特征。设置了囊肿-蛛网膜下腔分流术以平衡头侧硬脊膜囊和囊肿之间的脑脊液压力。
结果
术后即刻，患者左腿无痛，2年后仍无疼痛。术后1年的磁共振成像显示囊肿大小减小。
结论
尽管这是一项初步研究，但囊肿-蛛网膜下腔分流术对于有症状的骶管囊肿可能是一种有用的替代治疗方法。
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