经骶骨前脊膜膨出(Anterior sacral meningocele,ASM)是硬脊膜和蛛网膜通过骶骨前方的异常骨性缺损向盆腹腔突出形成的疝囊,临床症状与囊肿对周围组织的压迫程度以及合并的其它病变有关,主要表现为大小便功能障碍、头痛、腰骶神经功能异常等。ASM发病率低,临床表现多样化,容易被误诊,需普外科、泌尿外科、妇产科以及神经外科等多学科医师加深认识。目前,ASM的治疗主要以手术治疗为主,且有多种手术方式,需根据每个患者的具体病情选择最有利的手术方式来确保手术的安全与成功。本文对ASM的发病机制、临床表现、诊断方式、手术方法以及临床治疗策略进行综述,为ASM的诊治提供参考。
Anterior sacral meningocele is a hernial sac formed by the dura mater and arachnoid membrane protruding into the pelvic cavity through the abnormal bone defect in front of the sacrum. The clinical symptoms are related to the degree of compression of the cyst on the surrounding tissues and other combined lesions, The main manifestations were dysuria, headache and lumbosacral nerve dysfunction. The incidence rate of ASM is low and have various symptoms. General surgeons, Urologists, Obstetricians and gynecologists, neurosurgons and other multidisciplinary physicians need to deepen understanding. At present, the main treatment of ASM is surgery, and there are a variety of surgical methods. According to the specific condition of each patient, choose the most favorable surgical method to ensure the safety and success of the operation. This article reviews the pathogenesis, clinical manifestations, diagnosis, surgical methods and clinical treatment strategies of ASM, so as to provide reference for the diagnosis and treatment of ASM.