Duthel R, Charret M C, Huppert J, Deluzarches P, Motuo Fotso M J, Barral F
Services de Neurochirurgie de Saint-Etienne, Lyon, Centre Hospitalier Régional et Universitaire.
Neurochirurgie. 1988;34(2):90-6.
The authors report 11 cases of anterior sacral meningocele, cystic mass connected with lumbar sac through a sacral bony defect: 2 children and 9 adults. Clinic presentations are analysed. Examination including, X ray, ultrasonography, scanner is discussed. The authors believe that these lesions must be treated surgically because a risk of rupture in the rectum with important meningitis exists. There is also a septic risk if an error of diagnosis ends at a puncture. The transacral approach is easy and it gives the best results.
作者报告了11例骶前脊膜膨出病例,即通过骶骨骨质缺损与腰骶部相连的囊性肿物:2例儿童和9例成人。分析了临床表现。讨论了包括X线、超声、扫描仪在内的检查方法。作者认为这些病变必须进行手术治疗,因为存在直肠破裂并引发严重脑膜炎的风险。如果诊断错误导致穿刺,也存在感染风险。经骶骨入路操作简便且效果最佳。