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根袖重建术治疗包含有神经根的骶管囊肿

, PP. 947-952

Keywords: 骶管,硬脊膜囊肿,重建神经根袖,脊神经根,临床效果

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Abstract:

分析了包含有神经根的骶管囊肿的临床特性,评估了根袖重建术的治疗效果.根据术中显微镜下所见,判明神经根和骶管囊肿的关系(确定神经根在囊肿内),切除多余的囊肿壁,重叠缝合重建神经根袖.用改良的IJOA评分来评价患者手术前后的神经功能状况.38例患者入组本研究,平均年龄(41.4±15.57)岁,术前IJOA评分为18.8±1.32,术后IJOA评分为19.6±0.65,手术前后IJOA分值差异显著(t=-3.77,P=0.001),有统计学意义,术后神经功能状况得以显著改善.感觉功能改善最明显(z=-2.86,P=0.004),其次是二便功能(z=-2.31,P=0.02).

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