国际神经病学神经外科学杂志2026，Vol.53Issue(1)：46-51,6.DOI:10.16636/j.cnki.jinn.1673-2642.2026.01.007
神经根型骶管囊肿静水压机制和手术疗效研究
Hydrostatic pressure mechanism of Tarlov cysts and the efficacy of surgical treatment
解静宜 1张少棋 2王崧权 3陈来照3
作者信息
- 1. 山西医科大学医学科学院,山西 太原 030012
- 2. 陕西省咸阳市核工业二一五医院神经外科,陕西 咸阳 712000
- 3. 山西医科大学第二医院神经外科,山西 太原 030001
- 折叠
摘要
Abstract
Objective To investigate the intracystic hydrostatic pressure mechanism of Tarlov cyst and the clinical efficacy of microsurgery.Methods A retrospective analysis was performed for the clinical data of 26 patients with Tarlov cysts who underwent surgical treatment in The Second Hospital of Shanxi Medical University from November 2016 to June 2019,including symptoms,intraoperative management,and postoperative follow-up.Intracystic hydrostatic pressure was measured for some patients during surgery,and a statistical analysis was performed.Results Lumbosacral pain and radiating pain in the lower extremities were the main symptoms of the patients with Tarlov cysts when they attended the hospital.All 26 patients underwent microsurgery involving subtotal cyst resection and nerve root fascicular reconstruction,and there were no new complications after surgery.Of all patients,25(96.1%)achieved the improvement or disappearance of symptoms,and 1 had no significant changes.Preoperative intracystic pressure ranged from 3.1 to 12.4 mmHg under different body positions,whereas sacral canal pressure ranged from 0.1 to 0.8 mmHg after surgery.Conclusions Tarlov cysts may be associated with the increase in intracystic hydrostatic pressure.Microsurgical subtotal cyst resection combined with nerve root fascicular reconstruction can alleviate symptoms and is a safe and effective method for the treatment of Tarlov cysts.关键词
骶骨/静水压/单向活瓣机制/神经根型骶管囊肿/显微手术/腰椎/神经根病Key words
sacrum/hydrostatic pressure/one-way check-valve mechanism/Tarlov cyst/microsurgery/lumbar vertebra/radiculopathy分类
医药卫生引用本文复制引用
解静宜,张少棋,王崧权,陈来照..神经根型骶管囊肿静水压机制和手术疗效研究[J].国际神经病学神经外科学杂志,2026,53(1):46-51,6.
