采用旋转皮瓣技术消除小儿骶骨 Tarlov 囊肿的活瓣机制：技术说明。
Elimination of the check-valve mechanism of the sacral Tarlov cyst using a rotation flap technique in a pediatric patient: technical note.
机构信息
Department of Neurosurgery, School of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
Department of Neurosurgery, Takagi Hospital, Fukuoka, Japan.
出版信息
Childs Nerv Syst. 2021 May;37(5):1741-1745. doi: 10.1007/s00381-020-05029-z. Epub 2021 Jan 6.
OBJECTIVE
Symptomatic Tarlov cysts in children are not sufficiently reported and treatment methods for Tarlov cysts are still controversial. The goal of this manuscript is to introduce a new variation of the surgical technique.
METHODS
We performed surgery to eliminate the one-way check valve mechanism of the Tarlov cyst in a 7-year-old female who presented with urinary and fecal incontinence. A relatively large S3 nerve root cyst showed a one-way check valve on computed tomography myelography. The inlet of the check valve was enlarged with rotation flap reconstruction.
RESULTS
Two months after surgery, the patient had established normal sphincter control. MRI performed two years later showed that the treated cyst was collapsing, and no recurrence occurred.
CONCLUSIONS
Rotation flap enlargement of the check valve inlet is a safe and efficacious option for the treatment of pediatric patients with sacral Tarlov cysts.
目的
儿童症状性 Tarlov 囊肿的报道并不充分，Tarlov 囊肿的治疗方法仍存在争议。本文的目的是介绍一种新的手术技术变异。
方法
我们对一名 7 岁女性进行了手术，以消除 Tarlov 囊肿的单向活瓣机制，该女性出现尿失禁和大便失禁。在计算机断层脊髓造影中，一个相对较大的 S3 神经根囊肿显示出单向活瓣。通过旋转皮瓣重建扩大活瓣入口。
结果
手术后 2 个月，患者的括约肌功能恢复正常。两年后的 MRI 显示治疗后的囊肿正在塌陷，没有复发。
结论
旋转皮瓣扩大活瓣入口是治疗儿童骶骨 Tarlov 囊肿的一种安全有效的方法。
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