显微手术治疗骶管囊肿的临床分析

Clinical analysis of microsurgery in the treatment of sacral canal cyst

目的 分析显微手术治疗骶管囊肿的临床疗效。方法 以我院2012年6月~2014年10月收治的35例骶管囊肿患者为研究组,均接受显微手术治疗,选择2008年6月~2012年6月行开放手术的30例骶管囊肿患者为对照组,术后平均随访18个月,比较两组手术情况、临床疗效、并发症发生率、VAS评分及ODI评分。结果 两组手术时间[（31.12±5.71）vs（119.15±13.12）]min、术中出血量[（2.02±0.95）vs（544.20±97.72）]m L、住院时间[（8.46±4.05）vs（19.65±8.00）]d、末次随访VAS评分[（0.74±0.65）vs（2.20±1.51）]分及ODI评分[（8.11±6.34）vs（23.27±13.78）]分,比较差异显著（P〈0.05）。另外研究组并发症发生率25.00%,与对照组的100.00%比较,差异显著（P〈0.01）。结论 相比开放手术,显微手术治疗骶管囊肿具有微创、术中出血量少、并发症少、疗效明确等特点。

Objective To analyze the curative effect of microsurgery in the treatment of sacral canal cyst. Methods 35 patients with sacral canal cyst,who were admitted to our hospital from June 2012 to October 2014,were selected as research group,and were all received microsurgery.30 patients with sacral canal cyst,who were received open surgery from June 2008 to June 2012,were selected as control group.The average postoperative follow-up visit time was 18 months,and operations,curative effect,incidence of complications,VAS score and ODI score of both groups were compared. Results The difference of surgical time [（31.12 ± 5.71） vs （119.15 ± 13.12）]min,amount of bleeding [（2.02 ± 0.95） vs （544.20 ± 97.72）]mL, hospitalization time [（8.46 ±4.05）vs （19.65 ±8.00）]d,VAS scores of last follow-up visit [（0.74 ± 0.65） vs （2.20 ±1.51）] and ODI score [（8.11 ±6.34） vs（23.27 ± 13.78）] were significantly different（P 〈 0.05）.The rate of incidence of complications in research group was 25.00%,which was significantly different from 100.00% in control group（P 〈 0.01）. Conclusion Comparing with open surgery,mierosurgery has the advantages of minimal invasion,little amount of bleeding,few complications and clear curative effect.