儿童颅内蛛网膜囊肿的手术治疗探讨  

Clinical study on surgical operation of intracranial arachnoid cyst in children

作　　者：杨海城[1] 潘炳清 陶海泉[1] 杨立庄[1] 

机构地区：[1]哈尔滨医科大学附属第二医院神经外科,150086 [2]哈尔滨锅炉厂职工医院儿科

出　　处：《中国医师进修杂志》2008年第3期27-29,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨儿童颅内蛛网膜囊肿的手术适应证、手术方法和手术效果。方法对手术治疗的82例儿童颅内蛛网膜囊肿的临床资料进行回顾性的分析总结。所采用的手术方法有四种，囊肿切除术19例，囊肿切除加脑池开放术23例，囊肿-腹腔分流术28例，囊肿-腹腔引流术16例。结果术后随访6个月至5年，整体症状改善率为89．0％，CT或MRI证实囊肿消失明显缩小72例。四种术式比较，囊肿切除术在症状改善和囊肿缩小方面均不优于其他三种术式。结论手术治疗明显改善儿童颅内蛛网膜囊肿的症状，并可使囊肿缩小。手术方法以囊肿切除加脑池开放术、囊肿-腹腔分流或引流术为佳。Objective To investigate surgical indications,techniques and effects for intracranial arachnoid cyst in children. Methods Clinical data from 82 surgical cases were analyzed retrospectively, and different methods of operation were analyzed comparatively, Four operation methods were adopted ,in which cyst removal were performed in 19, cyst removal plus cisternal opening in 23, cyst-peritoneal shunt in 28,and cyst-peritoneal drainage in 16. Results Upon following up from six months to five years after operation, the chief symptoms got improved in 89.0% of the patients, and CT or MRI scan showed that the size of cyst became smaller in 72 of the patients. Four operation methods were compared ,cyst removal was not better than the other three operation methods. Conclusions The treatment of operation methods could make the symptoms improved and the cyst thrunk of intracranial arachnoid cyst in children. The operation of cyst removal plus cisternal opening or cyat-peritoneal shunt and cyst-peritoneal drainage is preferred.

关 键 词：儿童 蛛网膜囊肿 外科手术 

分 类 号：R726.5[医药卫生—儿科]