摘要目的 探讨高颈段脊髓腹侧神经管肠源性囊肿的临床特点、显微外科手术方法及疗效.方法 回顾性分析贵州省人民医院神经外科2011年3月至2015年8月采用颈后正中入路分两部分切除12例高颈段脊髓腹侧神经管肠源性囊肿患者的临床资料,总结其临床表现、MRI特点和手术疗效.结果 12例神经管肠源性囊肿均达到近全切除,且均经病理确诊.12例患者术后神经功能恢复良好,无并发症发生,其中10例症状完全消失,2例症状明显改善.随访时间为6 ～51个月(平均31.2个月),神经管肠源性囊肿无复发.结论 高颈段脊髓腹侧神经管肠源性囊肿具有典型的临床表现和MRI特点,其病情发展迅速,应尽早诊断及手术,合理评估手术难度,采用颈后正中入路将囊肿分为两部分切除,可提高囊壁切除的程度且获得良好的预后.

abstractsObjective To investigate the clinical features,microneurosurgery methods and efficacy of microneurosurgical treatment of neurenteric cyst in high anterior cervical cord.Methods From March 2011 to August 2015,the clinical data of 12 patients with neurenteric cyst in high anterior cervical cord resected two-partly via posterior cervical approach at the Department of Neurosurgery,Guizhou Provincial People's Hospital were analyzed retrospectively.Their clinical manifestations,MRI features,and surgical efficacy were summarized.Results The neurenteric cysts in 12 patients achieved subtotal resection and they were all confirmed by the pathological diagnosis.The neural function recovered well in 12 patients.No complications occurred.In 10 of them the symptoms disappeared completely,and the symptoms were improved significantly in 2 cases.The follow-up time ranged from 6 to 51 months (mean 31.2 months).No recurrence of neurenteric cyst was observed.Conclusions Neurenteric cyst in high anterior cervical cord has typical clinical manifestations and MRI characteristics.The disease develops rapidly and should be diagnosed and operated as soon as possible.Reasonable evaluation of surgical difficulty and dividing the cyst resection into two parts may improve the degree of the cyst wall resection and obtain a good prognosis.