经骶尾部入路治疗成人骶尾部囊肿

Resection of sacrococcyeal cyst in adult through sacrococcygeal approach

目的探讨成人骶尾部囊肿的临床特点和手术方法。方法回顾性分析11例骶尾部囊肿的诊断和治疗的临床资料。结果11例均有不同程度的周围脏器压迫症状,诊断主要依靠直肠指诊,腔内B超及CT检查。囊肿完全切除8例,部分切除3例。无手术死亡,未发生直肠瘘和肛门失禁。术后切口感染2例。结论术前影像学检查对骶尾部囊肿的诊断、定位及术式的选择有重要意义,合理选择手术经路和手术方法是切除骶尾部囊肿的关键,术中应避免神经血管直肠损伤。

Objective T0 investigate the clinical characteristic and the procedure for sacrococcygeal cyst in aduh.Methods The clinical data of 11 patients with sacrococcygeal cyst in adult were analyzed retrospectively. Results The oppressing syndrome in adjacent organs.Clinical diagnosis was made mainly by routine digital rectal examination,Endorectal ultrasound and CT scans.There were 8 cases of total resection of cyst and 3 cases of partial resection.Two patients developed wound infection after operation .There were no operative death and no incontinence. Conclusion Preoperative imaging examination is helpful to define the locution of sacrococcygeal cyst and choice of the operation type .The key point to resect sacroccygeal cyst lies in a rational selection of operative way and manner, keep nerves,blood vessels and rectal from being injured during operation.