CT引导下经皮穿刺皮质类固醇注射治疗腰椎小关节滑膜囊肿

Percutaneous CT-guided puncture and steroid injection for the treatment of lumbar intraspinal synovial cysts

目的 评估CT引导下经皮穿刺抽吸及皮质类固醇注射治疗腰椎小关节滑膜囊肿的疗效。方法 对有临床症状的腰椎小关节滑膜囊肿患者在CT引导下行囊肿穿刺及内容物抽吸,并在囊肿内注射皮质类固醇进行治疗。以视觉模拟疼痛评分对患者治疗前后的症状进行评估。结果 囊肿抽吸后患者疼痛明显减轻,4天后患者症状完全消失。结论 CT引导下经皮穿刺抽吸及皮质类固醇注射可减轻腰椎小关节滑膜囊肿患者的疼痛症状,是非手术治疗的首选方法。

Objective To evaluate the efficacy of percutaneous CT-guided puncture and steroid injection for the treatment of lumbar intraspinal synovial cysts (LISCs).Methods A patient with clinical symptom of LISCs was undergone percutaneous CT-guided lumbar synovial cyst puncture. After aspiration of the content and steroid injection were accomplished, visual analogue scale was used to evaluate the pain of the patient before and after the treatment.Results Excellent pain relief after aspiration and steroid injection was obtained with the symptom disappearing 4 days after the treatment.Conclusions Aspiration and steroid injection can reduce the pain of the patient with lumbar intraspinal synovial cysts,and it should be the frist choice of non-surgical treatment.