摘要
目的探讨颅内蛛网膜囊肿的治疗方法及临床疗效。方法回顾性分析2001年8月至2006年6月经头颅MRI和，或CT确诊的55例颅内蛛网膜囊肿患者的临床资料，其中29例经保守治疗症状缓解，18例显微镜下行囊肿壁切除术，并与脑池、蛛网膜下腔沟通，8例行囊肿分流术。结果随访3月-5年（平均15月）所有患者经治疗后症状均有所改善，复查颅脑CT或MRI显示，行开颅手术的18例患者中，15例患者囊肿体积缩小或消失；行分流手术的8例患者中，5例患者囊肿体积缩小或消失。结论难治性癫痫、高颅内压和出现脑组织受压的体征仍是手术治疗蛛网膜囊肿的可靠指征。锁孔人路囊壁开窗并充分建立囊腔与脑池之间的交通仍是治疗蛛网膜囊肿首选方法。
Objective To explore the clinical features and surgical indications of intracranial arachnoid cysts （IACs） and curative effect of the surgery on IACS. Methods The clinical data of 55 patients with IACs demonstrated by craniocerebral MRI or CT were analyzed. Of 55 patients with IACs, 29 were conservatively treated and 26 surgically treated. Of 26 patients treated by surgery, 18 were treated by microsurgical excision or fenestration of IACs walls and 8 by cystoperitoneal shunt （in 7 patients） or cystoatrial shunt （in 1 patient）. Results The following-up from 3 months to 5 years （mean, 15 months） symptoms. CT or MRI showed that the IACs shrank or disappeared in 15 patients （83.3%, 15/18） treated by microsurgical excision or fenestration and 5 （62.5%, 5/8） treated by the shunt. Conclusion The major indications of surgery for IACs include the intractable seizures, intracranial hypertension and compression of the cerebral tissues. The excision or fenestration of IACs walls and communicating the cyst with arachnoid cistern by microsurgery through keyhole approach is a safe, effective and optimal method to treat IACs.
出处
《中国临床神经外科杂志》
2010年第1期12-14,共3页
Chinese Journal of Clinical Neurosurgery
