椎管内滑膜囊肿的治疗

The treatment of intraspinal synovial cyst

目的探讨椎管内滑膜囊肿治疗的方法与疗效。方法将18例椎管内滑膜囊肿患者根据治疗方法分为两组：手术治疗10例为观察组，cT引导下穿刺注射药物治疗8例为对照组。对住院时间、下床活动时间、囊肿复发及并发症发生情况、JOA评分进行比较。结果患者均获随访，时间6～36个月。观察组住院、术后下床活动时间均长于对照组（P〈0．05）。观察组术后未出现并发症及复发，JOA评分：优8例，良1例，中1例，优良率为9／10；对照组出现1例神经损伤、3例复发，JOA评分：优2例，良3例，差3例，优良率为5／8。观察组疗效优于对照组（P〈0．05）。结论手术治疗椎管内囊肿的卧床及住院时间相对较长，但临床疗效满意。

Objective To discuss the clinical efficacy of treatment of intraspinal synovial cyst. Methods 18 cases of patients with intraspinal synovial cysts were divided into two groups according to treatment methods：10 cases of the observation group were treated with operation, CT guided puncture drug injection was performed in the treatment of 8 cases in the control group. Hospital stay time, ambulation time, recurrence rate and complications and JOA score were compared. Results Patients were followed up for 6 - 36 months. In the observation group, hospital stay time, postoperative ambulation time was longer than those of the control group （ P 〈 0. 05 ）. The patients in the observation group had no complications and recurrence, JOA score was excellent in 8 cases, good in 1, fair in 1, the excellent and good rate was 9/10. In the control group, 1 case of neurological complication, 3 cases of recurrence were found. JOA score was excellent in 2 cases, good in 3, poor in 3, the excellent and good rate was 5/8. The cxcellent rate of observation group was better than control group （P 〈 0. 05 ）. Conclusions The bed time and hospital stay time is relatively longer in operation treatment of intraspinal cysts, but the clinical effect is satisfactory.