CT引导下经皮穿刺医用生物蛋白胶治疗神经根囊肿

CT-guided Percutaneous Fibrin Glue Treatment of the Sacral Nerve Root Sheath

目的：探讨ＣＴ引导下经皮穿刺纤维蛋白粘合剂治疗神经根囊肿的疗效。材料与方法：对９例骶神经根囊肿患者，在高分辨力ＣＴ引导下定位，行腰穿针经骶孔刺入神经根囊肿内，抽尽囊肿内液体。将医用生物蛋白胶（ＦＧ）的主体和催化剂溶解液，同时等量注入囊腔内。结果：９例骶神经根囊肿患者经治疗后，神经压迫症状解除，术后随诊１～１９个月无神经损伤、无感染、无复发。术后ＣＴ复查显示囊肿内ＣＴ值增高，无脑脊液存留。ＭＲＩ示囊肿消失。结论：ＣＴ引导下经皮穿刺引流囊肿内注射ＦＧ粘合剂治疗骶神经根囊肿是一种安全、可靠、经济、有效的新疗法。其远期疗效有待于进一步观察。

Purpose: To study the effect of CT-guided percutaneous fibrin glue therapy of the sacral nerve root sheath cyst. Materials and Methods: under the high-resolution CT-guidance, The cystic fluid was aspirated and fibrin glue (FG) therapy were Performed in all the 9 patients with sacral nerve root cysts. Equal volumes of the cyoprecipitate and thrombin-calcium chloride solution were simultaneously injected until substantial forward resistance was felt. Results: Satisfactory results were achieve and symptoms disappeared in all nine patients after percutaneous aspiratin and fibrin glue therapy. No infection, no nerve damage or recurrence and cerebrospinal fluid (CSF) leaks were discover in this study, in 1 to 19 months followed up. Conclusion: CT-guided percutaneous fibrin glue treatment of cysts of the sacral nerve root sheath is a safety and efficient therapeutic new methods, but the long-term effect should be follow-up.