四叠体池蛛网膜囊肿  

Arachnoid cyst of the quadrigeminal cistern

作　　者：徐淑军[1] 吴承远[1] 孙炜[1] 步玉兰 

机构地区：[1]山东医科大学第一附属医院神经内科,济南250012

出　　处：《中国微侵袭神经外科杂志》1997年第4期244-245,307,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的:探讨四叠体池蛛网膜囊肿的临床特征和治疗方法。方法:对11例四叠体池蛛网膜囊肿进行了回顾性总结分析。所采用的手术方法有:①脑室分流手术;②囊肿-腹腔分流术;③囊肿切除;④囊肿切除加囊肿-脑池分流术,或囊肿部分切除(即囊肿开窗术),或囊肿切除加脑室-脑池分流术。结果:其主要临床表现以颅内压增高症和中线综合征为主。上述方法中单纯囊肿壁切除只能使部分病人的病情缓解,脑室分流或囊肿切除加脑室分流手术的疗效较好。结论:四叠体区蛛网膜囊肿常合并梗阻性脑积水,单纯囊肿切除不能解除多数病人的梗阻性脑积水。作者根据囊肿是否与蛛网膜下腔相通提出:对交通性蛛网膜囊肿采用单纯性脑室分流术,对非交通性者采用囊肿切除加脑室分流手术的治疗方法。Arachnoid cyst of the quadrigeminal cistern (ACQC) is not common clinically. The aim of this paper is to study the characteristics and treatment of ACQC. Method: The authors reported 11 cases of ACQC in this paper. The operative methods included: ① ventriculoper-itoneal shunt; ② cyst-peritoneal shunt; ③ resection of the cystic wall; ④ partial resection of the cystic wall plus cyst-cistern shunt, or partial resection of the cystic wall plus ventriculocis-ternostomy. Result: The main clinical manifestations were resulted from increased intracranial pressure and midline syndrome. Among the operative methods mentioned above, the authors found that the simple resection of the cystic wall was effective in only a few patients, ventricular shunting or resection of the cystic wall plus ventricular shunting were effective for the majority of patients. Conclusion: ACQC is usually accompanied with obstructive hydrocephalus. The simple resection of cystic wall could not relieve the hydrocephalus in most patients. According to communicating or not between the cyst and arachniod space, the authors recommended that the communicating cyst should be treated by ventricular shunting, and the non-communicating cyst should be treated by resection of the cystic wall plus ventricular shunting.

关 键 词：蛛网膜囊肿 四叠体池 手术治疗 

分 类 号：R651.1[医药卫生—外科学]