探讨症状性骶管囊肿囊液性状与介入治疗预后的关系

发布时间：2018-03-10 15:30

本文选题：骶管囊肿　切入点：分型　出处：《介入放射学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨症状性骶管囊肿患者囊液性状与介入治疗预后的关系。方法 114例症状性骶管囊肿患者,均有腰骶部不适等症状,其中初发86例,复发28例。在DSA引导下经皮穿刺进入囊肿内,抽吸2~5 ml脑脊液送实验室检查。然后再注入少量非离子型对比剂使囊肿显影,判断囊肿与蛛网膜下腔是否相通,最后再采用双针法抽吸囊液。结果造影显示114例患者中66例患者显示囊肿与蛛网膜下腔相通,48例患者显示囊肿与蛛网膜下腔不相通;初发患者中两组脑脊液糖、氯化物差异有统计学意义,复发患者中两组脑脊液糖、蛋白质、氯化物差异有统计学意义。脑脊液的单项、多项改变与患者的介入治疗预后差异有统计学意义。结论骶管囊肿分为与蛛网膜下腔通和不通的两种类型。初发和复发患者相比,脑脊液性状发生变化。脑脊液多项改变以及脑脊液糖升高、氯化物降低与患者介入治疗预后相关。
[Abstract]:Objective to investigate the relationship between cystic fluid characteristics and interventional therapy prognosis in patients with symptomatic sacral canal cyst. Methods 114 patients with symptomatic sacral cyst all had symptoms such as lumbosacral discomfort. There were 28 cases of recurrence. After percutaneous puncture into the cyst under the guidance of DSA, 25ml CSF was taken to the laboratory for examination. Then a small amount of Nonionic contrast agent was injected to make the cyst develop to determine whether the cyst was connected with the subarachnoid cavity. Finally, double needle aspiration was used to draw the sac fluid. Results in the 114 cases, 66 cases showed that the cyst was connected with the subarachnoid space, 48 cases showed that the cyst was not connected with the subarachnoid cavity, and the two groups of patients had cerebrospinal fluid sugar. The difference between the two groups of CSF sugar, protein and chloride was statistically significant. Conclusion sacral cyst can be divided into two types: subarachnoid and subarachnoid. The changes of cerebrospinal fluid (CSF), the increase of CSF sugar and the decrease of chloride were related to the prognosis of interventional therapy.
【作者单位】：泰山医学院研究生院;上海市第六人民医院放射科;解放军第85医院;
【分类号】：R657.1

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