癌变·畸变·突变 ›› 2004, Vol. 16 ›› Issue (2): 101-103.doi: 10.3969/j.issn.1004-616x.2004.02.011

• 肿瘤防治 • 上一篇    下一篇

23例脊柱神经管原肠囊肿病例报告

许燕凯,杨应明,蔡楚伟,郑少钦,赖润龙,陈伟强   

  1. 汕头大学医学院第一附属医院神经外科,广东 汕头  515041
  • 收稿日期:2003-05-23 修回日期:2003-06-18 出版日期:2004-03-30 发布日期:2004-03-30
  • 通讯作者: 许燕凯

Report on 23 patients with Spinal Neurenteric Cysts

XU Yan-kai;YANG Ying-ming;CAI Chu-wei;et al   

  1. Department of Neurosurgery, First Affiliated Hospital,Shan Tou University Medical College,Shantou 515031,China
  • Received:2003-05-23 Revised:2003-06-18 Online:2004-03-30 Published:2004-03-30
  • Contact: XU Yan-kai

摘要: 背景与目的: 探讨脊柱神经管原肠囊肿的临床特点、诊断与治疗方法。材料与方法: 回顾性分析了我科收治的23例脊柱神经管原肠囊肿的临床资料。结果: 23个病例,8个是女性,15个是男性。他们的年龄范围从5到52周岁不等。小儿的主要表现为隐性脊柱裂,而成年人多以疼痛为最初表现,病变常见于胸腰椎的硬膜内脊髓外、脊髓腹侧,手术全切17例,大部分切除5例,部分切除1例,病例的追踪期平均是7.5年,治疗效果良好。结论: 神经管原肠囊肿良性先天性发育异常疾病,早期显微手术切除效果良好。

关键词: 脊柱神经管原肠囊肿, 特异相关体征, 诊断, 显微手术切除

Abstract: BACKGROUND & AIM:To investigate the clinical characteristic, diagnosis and therapeutic methods of Spinal neurenteric cysts. MATERIAL AND METHODS: The clinical data of 23 patients in our department were reviewed retrospectively. RESULTS:Of the 23 patients, 8 were female and 15 were male. Their ages at presentation ranged widely from 5 weeks to 52 years . Majority of children presented with occult spinal dysraphism , but the adults presented primarily with pain . The lesion most commonly occurred as intradural,extramedullary masses in the thoracolumbar region,situated ventral to the spinal cord.Total surgical removal was performed in 17 cases, subtotal removal in 5 cases . partial resection in 1 case , The median follow-up period was 7.5 years . The therapeutic efficacy of microsurgery treatment was well. CONCLUSION: Spinal neurenteric cysts are congenital benign disease. The outcome of early microsurgery treatment is good.

Key words: spinal neurenteric cysts, special correlation stigmata, diagnosis;microsurgery treatment