Miyoshi K, Nakamura K, Hoshino Y, Kuribayashi Y, Saita K, Kurokawa T
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Japan.
J Spinal Disord. 1998 Feb;11(1):84-8.
Enterogenous cyst is a cause of spinal cord compression. The cyst has been treated surgically through a posterior approach in spite of the location ventral to the spinal cord. We saw two patients who had recurrence at 1 and 3 years after partial removal through this approach. We removed the cyst at the level of the cervical spine in four patients totally or subtotally through an anterior approach. All patients improved neurologically, and there were no signs or symptoms of recurrence at follow-up of from 2 to 13 years (average, 7 years 3 months). It is reasonable to approach the cyst located ventrally to the spinal cord through the anterior route, where the relationship between the cyst wall and the spinal cord can be viewed directly.
肠源性囊肿是脊髓受压的一个原因。尽管囊肿位于脊髓腹侧，但仍通过后路手术进行了治疗。我们观察到两名患者在通过这种方法部分切除术后1年和3年出现复发。我们通过前路在4例患者的颈椎水平完全或次全切除了囊肿。所有患者神经功能均有改善，在2至13年（平均7年3个月）的随访中无复发迹象或症状。对于位于脊髓腹侧的囊肿，通过前路途径进行处理是合理的，在此途径中可以直接观察囊肿壁与脊髓之间的关系。
