鞍区Rathke's囊肿的诊断及经蝶显微外科治疗  

Diagnosis and transspheniodal microsurgery of Rathke's cleft cysts in the sella

作　　者：阎学江[1] 秦进喜[1] 只达石[1] 杨树源[1] 

机构地区：[1]天津市脑系科中心医院神经外科,300060

出　　处：《中华神经外科杂志》2001年第4期246-248,共3页Chinese Journal of Neurosurgery

摘　　要：目的　分析和探讨鞍区Rathke s囊肿的诊断和治疗。方法　 2 5例经手术和病理证实为鞍区Rathke s囊肿 ,其中男性 11例 ,女性 14例。平均年龄 40 1岁。平均病程 35 3月。采用经鼻 蝶入路显微手术清除囊内容物 ,囊壁部分切除 ,开放囊腔。结果　随访半年至 6年 ,92 %的头痛症状及视功能障碍得到缓解 ,86 %的垂体功能低下得以改善或消失 ,其中 5例闭经泌乳患者 4例恢复正常。结论　鞍区Rathke s囊肿术前易与垂体腺瘤、囊性颅咽管瘤混淆 ,较难作出正确诊断。高分辨率MRI检查有助于鉴别。经鼻Objective To discuss the diagnosis and transsphenoidal surgery of Rathkes cleft cysts. Methods 25 patients were treated by transsphenoidal surgery. 11 patients were male, 14 female. Mean age were 40 1 years old. Duration of sympotoms were 35 3 months in average ranged from 2 months to 10 years. 25 patients were treated with drainage of content, biopsy of cyst wall and cyst opening.Results With follow up from 6 months to 6 years, headache and visual interference were resolved in 92%, pituitary dysfunction disappeared in 86%, in which 4 to 5 cases with amenorrheagalactorrhea restored to nomal.Conclusions Rathkes cyst may be confuse with pituitary adenoma and craniopharyngioma and sometime is difficult to get correct diagnosis. Cerebral MRI may aid clinical different diagnosis. Transsphenoidal microsurgery is an effective methode for treating this disease.

关 键 词：Rathke's囊肿 诊断 经蝶 显微外科治疗 

分 类 号：R739.41[医药卫生—肿瘤]