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[目的]探讨钛网骶管重建术在治疗症状性骶管囊肿中的临床应用效果.[方法]选择2010年3月～2014年3月在本院手术治疗的骶管囊肿患者62例,其中并行钛网骶管重建术32例(重建组),单纯囊肿切除术30例(单纯组),比较两组围手术期情况(手术时间、术中出血量、住院费用及并发症发生率)及临床疗效(VAS评分和JOA评分).[结果]重建组的手术时间、术中出血量及住院费用均大于单纯组,但其并发症发生率小于单纯组.两组末次随访时VAS评分和JOA评分均较术前明显改善;两组间对比:VAS评分重建组低于单纯组,JOA评分重建组高于单纯组.以上所有数据比较差异均具有统计学意义(P＜0.05).[结论]开放手术治疗症状性骶管囊肿有效,钛网骶管重建可以增强临床疗效并减少并发症发生率,是该手术的有益补充.“,”[Objective] To investigate the clinical outcome of sacral canal reconstruction with titanium mesh in the treatment of symptomatic sacral canal cyst.[Methods] Sixty-two patients with symptomatic sacral canal cyst underwent open surgery through posterior approach in our hospital from March 2010 to March 2014.Of them,32 patients received sacral canal reconstruction with titanium mesh (the study group),while the remaining 30 patients underwent mere cystectomy (the control group).The operation time,intraoperative blood loss,hospitalization cost and complication rate were compared between the two groups.In addition,the clinical outcome was assessed using VAS score and JOA score.[Result] The operation time,blood loss and hospitalization expenses in the study group were significantly higher than those in the control group,but the complication rate in the former was less than that in the latter.The VAS score and JOA score were significantly improved in both groups at the latest follow-up.Compared with the control group,the study group had lower VAS score and higher JOA score,with statistical differences between the two groups (P＜0.05).[Conclusion] Open surgery is an effective treatm ent for symptomatic sacral canal cyst.Concurrent canal reconstruction with titanium mesh can effectively enhance the clinical outcome and reduce the incidence of complications.