The Efficacy Analysis Of CT-guided Percutaneous Injection Of Fibrin Glue Thereapy For Sacral Cysts

Sacral cyst is a kind of the spinal canal benign tumor or tumor samples lesions, pathogenesis unclear.It is one of the reasons for the clinically backleg pain. In the past, due to the symptoms are not typical, and symptoms are similar to lumbar intervertebral disc herniation and vertebra canal tumor, and restricted to imaging examination means etc, it is easy to misdiagnosis and missed diagnosis. In recent years, due to the MRI, gradually popularizing clinically diagnosed sacral cyst. Treatment methods are various, conservative treatment basically is invalid, surgical treatment exists traumatic big, easy cause the spinal canal infection, cerebrospinal fluid leakage, nerve root injury, postoperative recurrence and so on many kinds of complications, and CT guided percutaneous injection of Fibrin Glue to treat sacral cyst is an effective treatment method according to domestic and foreign classics of basic and clinical research show in recent years. Compared with the traditional surgery, it has small trauma, minimally invasive operation, and low cost advantage. Since 2000 domestic LiuYuJie reported using percutaneous sacral canal cyst suction add Fibrin Glue sealing to treat sacral canal cyst, many domestic hospitals carry out this minimally invasive surgical treatment. Since the start of 2008 section, our department uses this method to treat sacral cyst and obtain good effect. This paper intends to reveal the cause of sacral cyst formation, analysis of minimally invasive surgical curative effect and effectively prevent and control complications.Objective To Discusses the formation mechanism of sacral cyst; explore CT guided percutaneous injection Fibrin Glue (FG) treatment effect and operating methods, prevention of complications.Methods 20 cases have clinical symptoms of sacral root cyst were enrolled in this study, all of the preoperative patients were received CT scans,calculation cyst roughly volume; Guided by positioning in CT puncturing,at different time points extraction of three tube cyst liquid conducting routine and biochemical examination; Puncture process, injecting nonionic media(omnipaque), according to whether interlinked with subarachnoid cyst divided into A (n = 12), B (n = 8) two groups.By Oswestry and VAS score, MRI results, comparing A, B two groups before treatment and after treatment clinical curative effect; Life signs during the operation monitoring, to prevent allergic reaction; Intraoperative, postoperative survey A, B two groups of complications.Results According to intraoperative cyst imaging results and cyst liquefaction results indicate, cyst check-up divided into group A (cyst with subarachnoid interlinked type) and group B (cyst with subarachnoid not mutually type). A and B chloride ion content between two groups, the content of protein are statistically significant differences between the different groups and at different time points (P < 0.05) , sugar content difference was not statistically significant; Compared with the preoperative, perioperative injection of contrast and Fibrin Glue life signs after not statistically significant difference; Compared with the preoperative and postoperative patients oswestry, VAS A month are statistically significant differences in scores of patients after A month investigation(P < 0.05), After a month, Group A, B, respectively, dykes dykes 83.33% respectively of 87.5% for. Comparison between two groups dykes, the difference was not statistically significant; There were no correlation between therapeutic effect and age, sex, weight, cysts in gaps, single or multiple cyst, cyst volume estimate. A and B, two groups of surgery complications are relatively appear in no statistically significant differences about hemorrhagic cyst fluid, Spare sac liquid failure,sacral nerve root injury, postoperative headaches, vomiting, not relieve symptoms, fever incidence was statistically significant differences (P < 0.05).Conclusions Sacral cyst is divided into subarachnoid interlinked type and not mutually type two kinds;CT-guided percutaneous injection of fibrin glue treatment of sacral cyst has advantages of minimally invasive operation, safe and reliable, low incidence of complications, etc.