摘要
目的 探讨颅内蛛网膜囊肿治疗策略.方法 作者回顾分析于2010年9月1日至2010年12月1日在北京天坛医院神经外科门诊诊治的有完整临床资料的47例颅内蛛网膜囊肿,无干预治疗25例,手术治疗22例,神经内镜下蛛网膜囊肿壁部分切除＋囊肿-脑池造瘘术13例,囊肿-腹腔分流术7例,显微下切除囊肿壁术2例.结果 无干预治疗25例,平均随访38.9个月,囊肿无变化.神经内镜治疗组,囊肿消失1例,囊肿缩小50%以上12例;分流治疗组,囊肿消失1例,缩小50%以上5例,无变化1例;显微手术治疗组,囊肿1例消失,1例无变化.并发症：神经内镜组,1例发现硬膜下积液;分流组中3例脑组织包裹分流管,1例硬膜下积液.结论 大多数颅内蛛网膜囊肿行无干预治疗;神经内镜治疗与囊肿-腹腔分流治疗,效果相似,前者更安全、微创,并发症少,应作为首选的治疗方法.
Objective To investigate treatment strategy of intracranial arachnoid cysts. Method 47 cases of Intracranial arachnoid cysts from Sep 1,2010 to Des 1,2010 were analyzed. 25 cases received no intervention but follow. 22 cases received operation, 13 of 22 cases neuroendoscopic partial cystectomy and communication between cystic cavity and brain cistern; 7 of 22 cases cysts - peritoneal shunt, 2 of 22 cases cranioectomy for cystectomy. Results All the cases of no intervention group showed no neuron - imaging change,in endoscopic treatment group,cyst disappearance occurred to 1 case, 12 cases reduced over 50%. In cyst -peritoneal shunt group,cyst disappearance occurred to 1 case,5 cases reduced over 50%. In microscopic cystectomy group, cyst disappearance occurred to 1 case. But no change to 1 case. Conclusions Most of intracranial arachnoid cysts should be given intervention but followed, neuroendoscopy is a safe and effective method with minima invasion in the treatment of intracranial arachnoid cyst. It should be first choice.
出处
《中华神经外科杂志》
CSCD
北大核心
2011年第3期220-223,共4页
Chinese Journal of Neurosurgery
关键词
蛛网膜囊肿
内镜
治疗
观察
Intracranial arachnoid cyst
Endoscopes
Therapy
Observation
