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目的 :对中枢神经系统肠源性囊肿的临床表现、影像学改变及治疗进行探讨。方法 :总结 1994～ 1999年收治的中枢神经系统肠源性囊肿 6例的临床经验。结果 :6例病人中 ,5例椎管内囊肿一次性手术全切除 ;1例后颅窝囊肿第 1次手术部分切除 ,1年后复发 ,第 2次手术全切除。结论 :手术切除的肠源性囊肿大多位于椎管内 ,少数位于后颅窝。术前定性诊断困难。CT、MRI等可发现囊肿 ,若同时发现合并有其他畸形如 :脊柱裂、椎体异常时对定性诊断很有价值。治疗应争取一次全切 ,以免复发
Objective: To investigate the clinical manifestations, imaging changes and treatment of enterogenous cysts in central nervous system. Methods: To summarize the clinical experience of 6 cases of central nervous system enterogenous cysts from 1994 to 1999. Results: Of the 6 patients, 5 cases of spinal canal cyst were removed one time, 1 case had posterior fossa cyst partially resected at the first operation, 1 year later, and the second operation was performed. Conclusion: Most of the resected enterogenous cysts are located in the spinal canal and a few are located in the posterior fossa. Preoperative qualitative diagnosis difficult. CT, MRI and other cysts can be found, if found concurrent with other deformities such as: spina bifida, vertebral abnormalities when the qualitative diagnosis of great value. Treatment should strive for a full cut, so as to avoid recurrence