Objective

Symptomatic Tarlov cysts in children are not sufficiently reported and treatment methods for Tarlov cysts are still controversial. The goal of this manuscript is to introduce a new variation of the surgical technique.

Methods

We performed surgery to eliminate the one-way check valve mechanism of the Tarlov cyst in a 7-year-old female who presented with urinary and fecal incontinence. A relatively large S3 nerve root cyst showed a one-way check valve on computed tomography myelography. The inlet of the check valve was enlarged with rotation flap reconstruction.

Results

Two months after surgery, the patient had established normal sphincter control. MRI performed two years later showed that the treated cyst was collapsing, and no recurrence occurred.

Conclusions

Rotation flap enlargement of the check valve inlet is a safe and efficacious option for the treatment of pediatric patients with sacral Tarlov cysts.

中文翻译：

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在儿科患者中使用旋转瓣技术消除骶骨 Tarlov 囊肿的止回阀机制：技术说明

客观的

儿童有症状的 Tarlov 囊肿报道不足，Tarlov 囊肿的治疗方法仍存在争议。这份手稿的目的是介绍手术技术的新变化。

方法

我们进行了手术，以消除一名出现尿失禁和大便失禁的 7 岁女性 Tarlov 囊肿的单向止回阀机制。一个相对较大的 S3 神经根囊肿在计算机断层扫描脊髓造影中显示一个单向止回阀。单向阀入口通过旋转瓣重建扩大。

结果

手术后两个月，患者的括约肌控制正常。两年后进行的核磁共振显示，治疗后的囊肿已经塌陷，没有复发。

结论

止回阀入口的旋转瓣扩大是治疗患有骶骨 Tarlov 囊肿的儿科患者的安全有效的选择。