颅内蛛网膜囊肿外科治疗体会  

Experience on surgical treatment of itracranial arachnoid cyst

作　　者：沈华[1] 王汉东[1] 乔梁[1] 

机构地区：[1]南京军区南京总医院神经外科,江苏南京210002

出　　处：《医学研究生学报》2007年第12期1257-1259,共3页Journal of Medical Postgraduates

基　　金：江苏省"135工程"医学重点人才资金资助项目(批准号:200131);南京军区南京总医院科研基金资助项目(批准号:2005077)

摘　　要：目的:探讨颅内蛛网膜囊肿(IAC)有效的手术方式及手术指征。方法:30例IAC患者中,18例显微镜下行囊肿壁切除,并与脑池、蛛网膜下腔沟通,8例行囊肿-腹腔分流术,4例行单纯囊肿切除术。结果:术后复查头颅CT示囊肿基本消失或有不同程度缩小。结论:囊肿-腹腔分流术一般作为术后复发、高龄患者或婴幼儿的治疗手段;显微手术是大多数蛛网膜囊肿患者的首选治疗方法,切除囊肿并充分建立囊腔与脑池之间的交通是手术成功和防止复发的关键。Objective ：To investigate surgical indications and operative techniques of intracranial arachnoid cysts（IAC）. Methods：Thirty patients with IAC treated in Nanjing General Hospital of Nanjing Command were analyzed retrospectively. Cyst wall removal and communicated cyst with adjacent cistern or subarachnoid space was performed in 18 patients, cyst-peritoneal shunt in 8 patients, simple resection in 4 patients. Results： Follow-up CT scans after surgery showed that all cysts disappear or shrinked. Conclusion： Cyst-peritoneal shunt was indicated in recurrent cysts after resection, senile patients and infants. Microsurgery resection of the cyst is preferred in majority of the patients, removal of the cyst wall and communicating the cyst with arachnoid cistern were key nrocedures for nreventing relapse.

关 键 词：颅内蛛网膜囊肿 手术指征 手术方式 

分 类 号：R742[医药卫生—神经病学与精神病学]