医用生物蛋白胶治疗骶管囊肿

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。

Curative effect of the fibrinogen gel for sacral canal arachnoid cyst

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.