CT引导穿刺透明隔囊肿-腹腔分流术12例  

Treatment of septum pellucidum cysts by CT-guided puncture and cystoperitoneal shunt: Report of 12 cases

作　　者：周辉[1] 施辉[1] 陈覃[1] 江伟[1] 

机构地区：[1]徐州医学院附属连云港医院神经外科,连云港222000

出　　处：《中国微创外科杂志》2006年第11期874-875,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨CT引导下穿刺透明隔囊肿-腹腔分流术治疗透明隔囊肿的可行性。方法采用CT引导穿刺透明隔囊肿-腹腔分流术治疗有症状的透明隔囊肿12例，其中8例合并脑积水，术前常规行头颅CT冠状扫描，确定囊肿的中心位置与所定基线的关系，术中正确穿刺。结果12例头痛、头晕症状均消失；癫痫发作3例术后未再复发；意识障碍2例术后清醒。无术后并发症。12例随访2～24个月，平均11个月，术后复查CT和MRI，10例囊肿消失，2例囊肿较术前减小（最大横径减小3～18mm，平均减小12．6mm）；8例脑积水脑室形态术后均回缩30％以上。结论CT引导穿刺透明隔囊肿-腹腔分流术治疗透明隔囊肿可行，具有微创、操作简便、疗效好、并发症少等优点。Objective To explore the feasibility of CT-guided puncture and cystoperitoneal shunt in the treatment of septum pellucidum cysts. Methods Twelve patients with symptomatic septum pellucidum cysts were treated by CT-guided puncture and cystoperitoneal shunt. There were 8 patients with accompanying hydrocephalus. Before operation, routine coronal CT scans were carried out to determine the relationship between the center of the cyst and the baseline. Results Symptoms of headache and dizziness disappeared in all the 12 patients. No recurrence of epileptic attack was found in 3 patients with epileptic history. Clear consciousnesss was observed in 2 patients with loss of consciousnesss. All the 12 patients were followed for 2 -36 months （mean, 11 months）. Postoperative CT and MRI examinations showed that the cyst disappeared in 10 patients and decreased in size in 2 patients （ the maximum diameter decreased by 3 - 18 mm, with a mean of 12.6 mm）. The enlarged ventricle in 8 patients with hydrocephalus was 30% or more smaller than that before operation. All the patients were discharged from hospital without any complications. Conclusions CT-guided puncture and cystoperitoneal shunt in the treatment of symptomatic sepeum pellucidum cysts is feasible and it has advantages of minimally invasion, simple to perform, less complications.

关 键 词：CT引导 囊肿-腹腔分流术 透明隔囊肿 

分 类 号：R651[医药卫生—外科学]