脊髓末端积水合并脊髓栓系综合征视频：脊髓末端积水合并脊髓栓系综合征
Topic: Terminal syringomyelia within spinal cord combined with tethered cord sydrome
作者：谢京城，王振宇，陈晓东
Authors: XIE Jing-cheng, WANG Zhen-yu, CHEN Xiao-dong
原文链接：中国现代神经疾病杂志,2016,16(3):141-147
Associated with: Chinese Journal of Contemporary Neurology and Neurosurgery, 2016, 16(3):141-147
摘要：经后路L5椎板及S1-2骶管后壁切除入路，行骶管硬脊膜囊肿切除、脊髓拴系松解、终丝切断脊髓空洞内积水引流术
1. L5水平为硬膜囊末端，其尾端可见脊膜囊肿位于S1-2水平，约5cm×2cm×2cm大小
2. 先剥离并切断骶管脊膜囊肿壁背侧系带
3. 剪开脊膜囊肿壁，继续向头端剪开正常脊膜囊末端，向双侧悬吊，见内终丝结构，内终丝过渡为外终丝处见CSF漏口，终丝增粗牵拉脊髓
4. 剥离终丝，向头端逆行分离终丝，结扎、切断终丝
Introduction: The operation was done on June 29, 2011via posterior approach of L5-S2 laminectomy to remove the sacral meningeal cyst, section the fulim terminale, as well as de-tether the cord.
1. The end of normal dural sac was at the level of L5, and there was meningeal cyst approximately 5cm×2cm×2cm at the level of S1-2.
2. Dissect and cut the strip dorsal to the sacral meningeal cyst.
3. Open the wall of the meningeal cyst and carry out rostral to the normal dural sac through midline and suspend to reveal the filum terminale.
4. Dissect, separate and section the fulim terninale.
Topic: Terminal syringomyelia within spinal cord combined with tethered cord sydrome
作者：谢京城，王振宇，陈晓东
Authors: XIE Jing-cheng, WANG Zhen-yu, CHEN Xiao-dong
原文链接：中国现代神经疾病杂志,2016,16(3):141-147
Associated with: Chinese Journal of Contemporary Neurology and Neurosurgery, 2016, 16(3):141-147
摘要：经后路L5椎板及S1-2骶管后壁切除入路，行骶管硬脊膜囊肿切除、脊髓拴系松解、终丝切断脊髓空洞内积水引流术
1. L5水平为硬膜囊末端，其尾端可见脊膜囊肿位于S1-2水平，约5cm×2cm×2cm大小
2. 先剥离并切断骶管脊膜囊肿壁背侧系带
3. 剪开脊膜囊肿壁，继续向头端剪开正常脊膜囊末端，向双侧悬吊，见内终丝结构，内终丝过渡为外终丝处见CSF漏口，终丝增粗牵拉脊髓
4. 剥离终丝，向头端逆行分离终丝，结扎、切断终丝
Introduction: The operation was done on June 29, 2011via posterior approach of L5-S2 laminectomy to remove the sacral meningeal cyst, section the fulim terminale, as well as de-tether the cord.
1. The end of normal dural sac was at the level of L5, and there was meningeal cyst approximately 5cm×2cm×2cm at the level of S1-2.
2. Dissect and cut the strip dorsal to the sacral meningeal cyst.
3. Open the wall of the meningeal cyst and carry out rostral to the normal dural sac through midline and suspend to reveal the filum terminale.
4. Dissect, separate and section the fulim terninale.
ISSN: 1672-6731