主要目的是描述腰椎硬膜外囊肿的不同类型和特征及其最佳治疗方案,重点是内窥镜技术。我们搜索了Pubmed,EMBASE,Medline,和谷歌学者在1967年至2020年之间发表的文章使用关键词“脊髓囊肿,\"\"硬膜外囊肿,“和”腰椎囊肿。“硬膜外囊肿的各种解剖和组织学类型及其表现,病因,成像,并从文章中回顾了以内镜技术为重点的最佳治疗方法。腰椎囊肿是相对罕见的病理,可能引起类似于腰椎间盘突出症的神经根症状。脊髓硬膜外囊肿根据囊肿衬里组织进行组织学分类(滑膜囊肿或非滑膜,神经节囊肿)或在解剖学上基于起源结构(硬膜外囊肿,黄韧带囊肿,椎间盘囊肿,椎间盘切除术后假性囊肿,后纵韧带囊肿,面囊肿)。手术切除是推荐使用内窥镜技术治疗有症状的囊肿的可行选择。可以根据其组织学结构或根据其起源结构来鉴定硬膜外腰椎囊肿。不管他们的分类,他们都可以给出类似的临床发现,最佳治疗方法是采用内窥镜技术进行手术切除,这是一种可行的选择,结果令人满意。
The main objective was to describe the different types and characteristics of lumbar spine extradural cysts and their optimal treatment options with a focus on endoscopic technique. We searched Pubmed, EMBASE, Medline, and Google Scholar for articles published between 1967 and 2020 using the keywords \"Spinal Cyst,\" \"Extradural Cyst,\" and \"Lumbar Cyst.\" The various anatomical and histological types of the extradural cysts with their presentations, etiologies, imaging, and optimal treatment with a focus on endoscopic techniques were reviewed from the articles. Lumbar spinal cysts are relatively rare pathologies that might cause radicular symptoms similar to lumbar disc herniation. Spinal extradural cysts are classified either histologically based on the cyst lining tissues (synovial cysts or non-synovial, ganglion cysts) or anatomically based on the structure of origin (epidural cysts, ligamentum flavum cysts, discal cysts, post-discectomy pseudocysts, posterior longitudinal ligament cysts, facet cysts). Surgical excision is the recommended treatment of symptomatic cysts with endoscopic techniques being a viable option. Extradural lumbar cysts can be identified based on their histological structure or depending on their structure of origin. Regardless of their classification, they could all give similar clinical findings, and the optimal treatment would be surgical excision with endoscopic technique being a viable option with a satisfactory outcome.