神经内镜手术治疗颅内蛛网膜囊肿  

Neuroendoscopic surgery in the treatment of intracranial arachnoid cysts

作　　者：彭玉平[1] 张喜安[1] 漆松涛[1] 罗洪海[1] 

机构地区：[1]南方医科大学南方医院神经外科,广州510515

出　　处：《中华神经医学杂志》2005年第6期585-588,共4页Chinese Journal of Neuromedicine

摘　　要：目的探讨神经内镜手术治疗颅内蛛网膜囊肿的手术指征、手术方法和预后。方法回顾性分析26例采用神经内镜手术治疗的颅内蛛网膜囊肿,其中采用神经内镜下囊肿脑池造瘘和囊壁部分剥除18例,囊肿次全切除3例,囊肿脑室造瘘5例(1例尚行脑室腹腔分流术)。术后随访3个月￣2年。结果术前有症状的20例患者中,症状消失11例,改善7例,无变化2例,术后不能改善的症状主要是癫痫。有随访影像学复查结果的16例患者中,囊肿消失6例,缩小7例,无变化3例。结论神经内镜手术是治疗颅内蛛网膜囊肿有效和微创的方法。Objective To discuss the surgical indication,endoscopic techniques,and prognosis of intracranial arachnoid cyst treated with endoscopical surgery. Methods 26 patients with intracranial arachnoid cysts who had accepted endoscopical surgery were retrospectively analyzed. The various endoscopic procedures included cysto-cisternostomy combined with partial stripping of arachnoid membranes in 18 patients,subtotal removal of the cyst in 3,cysto-ventriculostomy in 5 (1 underwent additionally cysto-peritoneal shunt). Post-operative follow-up ranges from 3 month to 2 years. Results In the 20 patients with pre-operative symptom,11 were symptom-free post-operatively,and 7 improved,2 unchanged. The unchanged symptom after the operation was mainly epilepsy. The follow-up radiological examination in 16 patients demonstrated that the cysts disappeared in 6,were reduced in size in 7,and did not change in 3. Conclusion Neuroendoscopic surgery is an effective method with minimal invasion in the treatment of intracranial arachnoid cyst.

关 键 词：颅内蛛网膜囊肿 手术治疗 脑室腹腔分流术 神经内镜手术 回顾性分析 手术指征 手术方法 次全切除 脑室造瘘 术后随访 内镜下 症状 影像学 囊肿消 患者 

分 类 号：R651.1[医药卫生—外科学]