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作 者:郑思阳[1] 吴广源[1] 齐辉[1] 洪新雨[2] 尹卫[1]
机构地区:[1]北京大学深圳医院神经外科,深圳518036 [2]吉林大学第一附属医院神经外科
出 处:《中国临床神经外科杂志》2010年第7期413-415,共3页Chinese Journal of Clinical Neurosurgery
摘 要:目的分析和讨论Rathke囊肿的诊断和显微外科手术治疗方法及效果。方法对2000年5月至2009年6月间经手术和病理证实的7例Rathke囊肿病例,均采用经鼻—蝶窦入路并术中辅助内镜手术治疗。结果 7例Rathke囊肿手术治疗过程均顺利,无并发症发生,无死亡病例,术后患者临床症状均明显好转。术后1~2个月患者激素水平均恢复正常。随访6月至5年无复发。结论 Rathke囊肿术前较难明确诊断,CT与MRI检查有一定特异性,但难以与其它鞍区囊性病变相鉴别。经蝶窦入路显微手术是目前Rathke囊肿的最安全有效的治疗方法。Objective To explore the diagnosis and microsurgical treatment of Rathke cyst.Method The clinical data of 7 patients with Rathke cyst,who underwent endoscope-assisted microsurgery through endonasal transsphenoidal approach from May,2000 to June,2009,were analyzed retrospectively.Results The intracystic substance and partial cystic walls were removed by microsurgery.Rathke cysts were confirmed by postoperation pathological examination in all the patients.No complications occurred in 7 patients.The raised plasma levels of the hormone before the operation returned to normal one month after the operation.There was no recurrence of Rathke cysts in all the patients during following up from 6 months to 5 years.Conclusions It is difficult to make definite diagnosis as Rathke cyst before the operation because it is difficultly differentiated from the other sellar cystic lesions on the basis of its clinical manifestations and founding on CT and MRI.The curative effect of the endoscope-assisted microsurgery through endonasal transsphenoidal approach on Rathke cyst is good.
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