医用生物蛋白胶治疗骶管囊肿
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作者Author单位AddressE-Mail
叶方 YE Fang 丽水市中心医院骨科,浙江 丽水 323000 Department of Orthopaedics,Center Hospital of Lishui,Lishui 323000,Zhejiang,China yefang131421@163.com 
兰树华 YE Fang 丽水市中心医院骨科,浙江 丽水 323000 Department of Orthopaedics,Center Hospital of Lishui,Lishui 323000,Zhejiang,China  
应锦河 YING Jin-he 丽水市中心医院骨科,浙江 丽水 323000 Department of Orthopaedics,Center Hospital of Lishui,Lishui 323000,Zhejiang,China  
吕国强 LV Guo-qiang 丽水市中心医院骨科,浙江 丽水 323000 Department of Orthopaedics,Center Hospital of Lishui,Lishui 323000,Zhejiang,China  
吴泉州 WU Quan-zhou 丽水市中心医院骨科,浙江 丽水 323000 Department of Orthopaedics,Center Hospital of Lishui,Lishui 323000,Zhejiang,China  
期刊信息:《中国骨伤》2008年,第21卷,第1期,第56-57页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:评价医用生物蛋白胶治疗骶管囊肿的疗效。

方法:19例骶管囊肿患者,男7例,女12例;年龄19~ 68岁,平均48.4岁;病程2周~7个月。囊肿部位9例在S1平面,4例在S1-S2平面,5例在S2平面,1例在S1-S3平面。11例采用囊肿壁大部切除,8例采用囊肿壁部分切除。之后均采用医用生物蛋白胶(FG胶)局部喷涂治疗。

结果:19例平均随访21.3个月(13~30个月),临床症状完全消失18例,1例术后仍有解尿无力,2周后恢复。术后12个月复查MRI均无复发。

结论:医用生物蛋白胶治疗骶管囊肿,操作简单、安全,效果好。术后患者症状消失快、恢复快、效果满意,是治疗骶管囊肿的一种有效可行的方法。
【关键词】生物蛋白胶  骶管  蛛网膜囊肿
 
Curative effect of the fibrinogen gel for sacral canal arachnoid cyst
ABSTRACT  

Objective: To evaluate curative effect of the fibrinogen gel for treating sacral canal arachnoid cyst.

Methods: Nineteen patients with sacral canal arachnoid cysts included 7 males and 12 females;The average age was 48.4 years ranging from 19 to 68 years. The course was from 2 weeks to 7 months. Of all the patients,9 were in level of S1,4 were in level of S1 to S2,5 were in level of S2,1 was in level of S1 to S3. Cystis wall greater partial excision adopted in 11 cases,partial resection in 8,then all patients were treated by spray painting fibrinogen gel.

Results: Nineteen patients were followed-up for 13 to 30 months(mean 21.3 months). The clinical symptom disappeared completely in 18 patients,and only one patient urinated incapably,but after 2 weeks returned to normal. No one found recurrence by MRI after 12 months.

Conclusion: This method of fibrinogen gel for treating sacral canal arachnoid cyst has advantages of easy performing,safety, achieve good results,less neck symptoms and early commencing of mobilization.
KEY WORDS  Fibrinogen gel  Sacral canal  Arachnoid cysts
 
引用本文,请按以下格式著录参考文献:
中文格式:叶方,兰树华,应锦河,吕国强,吴泉州.医用生物蛋白胶治疗骶管囊肿[J].中国骨伤,2008,21(1):56~57
英文格式:YE Fang,YE Fang,YING Jin-he,LV Guo-qiang,WU Quan-zhou.Curative effect of the fibrinogen gel for sacral canal arachnoid cyst[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):56~57
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