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- 2016
带蒂脂肪瓣及神经根包裹术在神经根型骶管囊肿手术中的应用
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Abstract:
摘要：目的 探讨带蒂脂肪瓣及神经根包裹术在神经根型骶管囊肿手术中的应用及注意事项。方法 回顾分析我科收治的14例神经根型骶管囊肿的手术指证、手术技巧及术后恢复情况。 结果 在显微镜及神经电生理监测的辅助下，14例患者，囊壁全切9例，囊壁包裹6例，全切率64.3%，术后症状明显改善。结论 神经根型骶管囊肿手术中采用带蒂脂肪瓣及神经包裹术，可以有效保护神经根，提高手术的成功率并显著降低复发比例。
ABSTRACT: Objective To evaluate the value of pedicled fat and capsule-packed nerve root in operation of sacral canal cysts. Methods We collected the information of 14 cases of sacral canal cysts for operation in our department and analyzed the operation indications and skills as well as the prognosis. Results All the operations were performed with the help of the microscope and the electrophysiological monitor. The capsules were removed in 9 cases and wrapped in 6 cases, with the total resection rate of 64.3%. The clinical symptoms were improved markedly after the operation. Conclusion The operation with pedicled fat and the capsule-packed nerve root is valuable in treating sacral canal cysts because it can protect the nerve root and get lower recurrence rate
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