微创 CT 引导下治疗椎管内滑膜囊肿。
Minimally invasive CT guided treatment of intraspinal synovial cyst.
机构信息
Clinical Department of Anesthesiology and Intensive therapy, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Department of Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
出版信息
Radiol Oncol. 2014 Jan 22;48(1):35-9. doi: 10.2478/raon-2013-0024. eCollection 2014 Mar.
BACKGROUND
Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically.
CASE REPORT
A 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved.
CONCLUSIONS
Percutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operation.
背景
脊椎关节突关节的椎管内滑膜囊肿是神经根痛和神经功能缺损的不常见原因。它们可以通过保守和手术治疗。
病例报告
一位 77 岁的多系统疾病患者，表现为双侧腰痛，随着时间的推移逐渐加重，且对保守治疗无反应。使用磁共振成像（MRI）做出了椎管内滑膜囊肿的诊断。使用经皮 CT 引导下注射局部麻醉药加皮质类固醇并使囊肿破裂成功地进行了治疗。术后一个月，他的疼痛得到改善，止痛药的使用减少，整体生活质量提高。
结论
对于不能耐受全身麻醉和手术的多系统疾病伴神经根病的患者，经皮 CT 引导下腰椎滑膜囊肿治疗是一种安全可靠的替代手术治疗的方法。
Zotero 插件