骶管囊肿的诊治进展

Progress of Diagnosis and Treatment of Sacral Canal Cysts

骶管囊肿是近年来逐渐被关注和重视的引起慢性腰背痛的一种脊柱脊髓疾病,其发生可能是多因素共同作用的结果。以往对于该病的诊断存在极大的偶然性,主要依靠磁共振成像筛查。治疗主要集中在保守治疗和开放性外科切除。目前临床上采用多种影像学检查及实验室检查相结合的方式诊断该病,分流术或转流术等微创技术以及囊腔填塞技术已成为治疗该病的重要措施。然而骶管囊肿的诊治尚无统一的诊疗标准。对于该病病理生理学机制的研究有助于其更加规范化的治疗,可为今后的研究方向。

As a kind of spinal cord diseases that can cause chronic low back pain, sacral canal cysts have gradually been concerned in recent years. The pathogenesis may be muhifactorial. In the past the diag- nosis of this disease was very uncertain, which mainly relies on magnetic resonance imaging screening. The treatment in the past was mainly by conservative treatment and surgical resection. At present, a variety of radiological and laboratory examinations have been combined in the clinical diagnosis, several minimally inva- sire technologied including shunt or drainage and pedicle flaps technology have become effective methods for the treatment of the disease. However, there is still no unified standard for the diagnosis and treatment. The research on the pathophysiology of the disease may contribute to a more standardized treatment, and can become the direction for the future research.