症状性枕大池蛛网膜囊肿手术治疗临床分析  

Clinical analysis of surgical treatment of arachnoid cysts in cisterna magna

作　　者：汤华[1] 陈少军[1] 李刚[1] 周建[1] 管玉华[1] 

机构地区：[1]三峡大学人民医院(宜昌市第一人民医院)神经外科,宜昌443000

出　　处：《中国实用神经疾病杂志》2014年第3期48-50,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 观察神经内镜术与囊肿腹腔分流术治疗症状性枕大池蛛网膜囊肿的临床疗效.方法 回顾性分析2003-01-2013-01我科应用神经内镜术治疗症状性枕大池蛛网膜囊肿16例与囊肿腹腔分流术治疗的10例患者的临床资料,对比2组临床症状、囊肿体积等指标.结果 术后6个月～1 a随访,内镜组预后明显好于分流组（P=0.039）,2组术后囊肿体积变化无显著差异（P=0.977）,但均较术前有明显差异（分流组P=0.000,内镜组P=0.011）.结论 两种手术方式均能有效缩小术后囊肿体积,但两种方式对囊肿体积的改变无区别,在症状缓解方面神经内镜更有优势.Objective To evaluate the curative effect of neuroendoseopy operation and cyst-peritoneal cavity shunt operation in the treatment of araehnoid cysts in cisterna magna. Methods Clinical data of 26 patients suffering from arachnoid cysts in cisterna magna who were admitted to our department from January 2003 to January 2013 were investigated. They were divid- ed into two groups： cyst-peritoneal cavity shunt group （16 cases） and neuroendoscopy group （10 cases）. The difference in cur： ative effect between the two groups was concluded. Results The follow-up for 6 months-l year showed that the prognosis in neuroendoscopy group were obviously better than that of cyst-peritoneal cavity shunt group （P=0. 039）, and the reduction of cyst volume in two groups had no significantly statistical difference（P： 0. 977）, but there were significantly statistical differences compared with that preoperative in the two groups. Conclusion Two kinds of operation can effectively reduce the postop erative cyst volume, but the change of cyst volume in two ways has no difference, and neuroendoscopy has advantages for the remission of symptoms.

关 键 词：蛛网膜囊肿 枕大池 神经内镜 囊肿-腹腔分流术 

分 类 号：R742[医药卫生—神经病学与精神病学]