摘要
目的:探讨颅内蛛网膜囊肿的临床特点及治疗方法。方法:总结我院71例颅内蛛网膜囊肿患者的手术治疗体会。62例患者行囊肿切除+周围脑池交通术,9例行囊肿-腹腔分流术。结果:本组无手术死亡病例。CT随访65例患者,囊肿消失、缩小者59例,无明显变化者6例。14例术前癫痫患者,9例控制良好。2例术后并发颅内感染、1例出现动眼神经麻痹者经治疗后痊愈,1例昏迷、癫痫治疗后好转。结论:对于确诊的颅内蛛网膜囊肿,积极的手术治疗能有效地改善患者的临床症状体征,是较为安全和可行的。
Objective： To explore the clinical features and therapeutic regimen of intracranial arachnoid cyst （IAC）. Methods： To summarize surgical treatments of 71 cases with IAC. Communication between IAC and cerebral cisterm were preformed on 62 patients, 9 cases were operated by cyst peritoneal shunt. Results： No one died. Postoperative CT image of 65 cases showed that cyst were disappered or decreased in 59 cases, and not changed in 6 cases. After operation, 9 of 14 cases with epilepsy were improved well; 2 cases suffered from intracranial infection. One case showed up oculomotor nerve paralysis was cured well, another appeared coma and epilepsy was improved by systemic treatment. Conclusion： Patient＇s symptoms and signs could be improved effectively by surgical treatment. A active surgical treatment is safety and availability for the patients with IAC.
出处
《解剖与临床》
2006年第3期175-177,共3页
Anatomy and Clinics
