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脊柱神经管原肠囊肿常见特征分析——附19例病例报告

Clinical features of spinal neurenteric cysts

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【作者】 许燕凯杨应明蔡楚伟郑少钦赖润龙陈伟强张琦辉

【Author】 XU Yan_kai,YANG Ying_ming,CAI Chu_wei,ZHENG Shao_qin,LAI Run_long,CHEN Wei_qiang,ZHANG Qi_hui (Department of Neurosurgery,The First Affiliated Hospital,Shantou University Medical College,Shantou 515041,China)

【机构】 汕头大学医学院第一附属医院神经外科汕头大学医学院第一附属医院神经外科 广东汕头515041广东汕头515041广东汕头515041

【摘要】 目的 探讨脊柱神经管原肠囊肿与隐性脊柱裂等常见特征的关系 ,揭示隐性脊柱裂等常见特征对脊柱神经管原肠囊肿诊断价值。方法 回顾性分析了 19例脊柱神经管原肠囊肿的临床资料。结果  19例病例 ,表现为隐性脊柱裂 12例 ,以疼痛为最初表现 11例 ,伴发皮肤特征高达 15例 ,隐性脊柱裂的伴随形式包括脊髓分裂畸形 (6例 )、脂肪瘤 (6例 )、脊髓牵系综合征 (4例 )和脊髓空洞症 (2例 )。结论 脊柱神经管原肠囊肿与隐性脊柱裂等常见特征有很高的伴随发病率 ,在伴随有隐性脊柱裂等常见特征的患者中应考虑有脊柱神经管原肠囊肿的诊断

【Abstract】 Objective\ To explore relation of spinal neurenteric cysts to more common aspects of occult spinal dysraphism. Methods\ Clinical data of 19 patients were reviewed retrospectively. Results\ In the 19 patients, 12 cases presented more commonly with occult spinal dysraphism (OSD) whereas presented primarily with pain in 11 cases.15 patients had some form of cutaneous stigmata,the cutaneous stigmata included focal hirsutism (9 cases), subcutaneous mass (4 cases), flat capillary hemangioma (2 cases), dermal sinus tract (2 cases) and pedunculated mass (1 case). There was a high incidence of associated forms of OSD including split cord malformation(6 patients), lipoma(6 patients), tethered spinal cord(4 patients) and syringomyelia(2 patients).Conclusions\ More common aspects of occult spinal dysraphism were way of concomitant on spinal neurenteric cysts have a high incidence rate. The patients who associated forms of OSD were considered to be diagnosis of neurenteric cyst.

  • 【文献出处】 医师进修杂志 ,Journal of Postgraduates of Medicine , 编辑部邮箱 ,2004年04期
  • 【分类号】R651.1
  • 【被引频次】1
  • 【下载频次】47
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