神经内镜治疗中颅窝蛛网膜囊肿的作用及疗效探讨  

Evacuation of neuroendoscopic surgery in the treatment of middle cranial fossa arachnoid cyst

作　　者：刘重霄[1] 师蔚[1] 郭振宇 王睿智[1] 孙建军[1] 高李贵[1] 周任[1] 卢兴苗[1] 

机构地区：[1]西安交通大学医学院第二附属医院神经外科,710004

出　　处：《中国临床实用医学》2008年第5期40-41,共2页China Clinical Practical Medicine

摘　　要：目的探讨神经内镜手术治疗中颅窝蛛网膜囊肿的手术指征、手术方法及疗效。方法回顾性分析采用神经内镜手术治疗的39例中颅窝蛛网膜囊肿患者临床资料，术后3个月至18个月行临床和影像学随访。结果术前有I临床症状的27例患者共有症状43项，其中症状消失或明显改善34项（78．05％），未改善者（21．95％）以癫痫症状为主；术前无临床症状者12例，术后亦无临床症状。25例有影像学随访结果的患者，囊肿消失7例（28％），缩小13例（52％），无变化5例（20％）。结论采用神经内镜手术治疗中颅窝蛛网膜囊肿创伤小，疗效满意，可作为本病治疗首选的手术方法。Objective To investigate the surgical indication,operation techniques and clinical effect of neuroendoscopic surgery in the patients with middle cranial fossa arachnoid cyst. Methods 39 cases of middle cranial fossa arachnoid cyst treated with neuroendoscope were analysed retrospectively. Postoperative follow-up was performed from 3 to 18 months. Results There were 43 symptoms in the 27 patients with symptoms,and 34 symptoms（78.05% ）disappeared or improved much postoperatively. The unimproved symptom was mainly epilepsy. No new symptoms presented in the 12 symptom-free patients. The follow-up imaging examination in 25 patients showed that the cysts disappeared in 7 patients,reduced in 13 patients,and did not change in 5 patients. Conclusion Neuroendoscopic operation is an effective method with minimal invasion,and can be selected firstly for the treatment of middle cranial fossa arachnoid cyst.

关 键 词：神经内镜 中颅窝蛛网膜囊肿 治疗 

分 类 号：R651.1[医药卫生—外科学]