论文部分内容阅读
目的探讨儿童椎管内肠源性囊肿的临床表现、影像学检查及显微手术治疗。方法收集自1996年至2004年收治的5例椎管内肠源性囊肿的临床资料,结合文献加以回顾性分析。结果全部病例均为儿童,确诊后采用显微外科手术治疗,其中2例全切,2例次全切除,1例大部切除。无一例死亡。经病理报告证实均为肠源性囊肿,术后神经根痛症状基本消失。随访0.5￣2年,无一例复发。脊髓损伤的Frankel分级:E级4例,D级1例。结论儿童椎管内肠源性囊肿有典型的临床表现和MRI特征,其最佳治疗方法是早期确诊并采取显微外科手术方法切除。
Objective To investigate the clinical manifestations, imaging and microsurgical treatment of children with endogenous intestinal cysts. Methods The clinical data of 5 cases of enterogenous sinonasal cysts from 1996 to 2004 were collected and analyzed retrospectively. Results All the cases were children. After the diagnosis, they were treated by microsurgery. Among them, 2 cases were totally cut, 2 cases were subtotally resected and 1 case was mostly resected. No one died. The pathological report confirmed that all enterogenous cysts, postoperative radicular pain symptoms disappeared. Follow-up 0. 5 ~ 2 years, no case of recurrence. Frankel classification of spinal cord injury: E grade in 4 cases, D grade in 1 case. Conclusion Children with intra-intestinal enterogenous cyst have typical clinical manifestations and MRI features. The best treatment is early diagnosis and microsurgical resection.