Galassi分型在中颅窝蛛网膜囊肿合并慢性硬膜下血肿中的临床应用  

Clinical application of Galassi classification in middle cranial fossa arachnoid cyst complicating chronic subdural hematoma

作　　者：宗志涛 黄燕 张红波 李云涛[3] 罗才奎[4] ZONG Zhitao;HUANG Yan;ZHANG Hongbo;LI Yuntao;LUO Caikui(Department of Neurosurgery,Jiujiang Municipal Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi 332005,China;National Clinical Key Specialty,Engineering Technology Research Center of Educational Ministry/Guangdong Provincial Key Laboratory of Cerebral Function Repair and Regeneration/Department of Neurosurgery,Zhujiang Hospital,Southern Medical University,Guangzhou,Guangdong 510282,China;Department of Neurosurgery,Huzhou Central Hospital/Affiliated Hospital of Zhejiang Universioty,Huzhou,Zhejiang 313000,China;Department of Neurosurgery,Affiliated Tongren Hospital,Wuhan University,Wuhan,Hubei 430060,China)

机构地区：[1]江西省九江市中医医院神经外科,江西九江332005 [2]国家临床重点专科,教育部工程技术研究中心/广东省脑功能修复与再生重点实验室/南方医科大学珠江医院神经外科,广州510282 [3]浙江省湖州中心医院/浙江大学附属湖州医院神经外科,浙江湖州313000 [4]武汉大学附属同仁医院神经外科,武汉430060

出　　处：《重庆医学》2019年第22期3870-3873,共4页Chongqing medicine

摘　　要：目的探讨Galassi分型在中颅窝蛛网膜囊肿合并慢性硬膜下血肿中的临床特征和疗效辅助价值。方法回顾性分析14例中颅窝蛛网膜囊肿合并慢性硬膜下血肿的临床资料,采用Galassi分型将其分为GalassiⅠ、Ⅱ型和Ⅲ型,总结Galassi不同分型与中颅窝蛛网膜囊肿合并慢性硬膜下血肿的临床特征、手术治疗方式(钻孔引流术、神经内镜手术、开颅术)及疗效之间的关系。结果14例中颅窝蛛网膜囊肿合并慢性硬膜下血肿,位于中颅窝左侧4例,右侧10例。GalassiⅠ型6例、GalassiⅡ型5例,GalassiⅢ型3例,3种分型患者的年龄、伤史、囊肿和血肿位置,差异有统计学意义(P<0.05),而3种分型患者的年龄、凝血功能差异无统计学意义(P>0.05)。6例GalassiⅠ型患者,钻孔引流5例,内镜手术1例;5型GalassiⅡ型患者,钻孔引流2例,内镜1例,开颅2例;3型GalassiⅢ型患者,钻孔引流0例,内镜1例,开颅2例;术后随访1年,3种治疗方式的治愈例数分别为4(66.6%)、3(16.7%)、2(16.7%)例,缓解例数分别为3(60.0%)、2(40.0%)、0(0.0%)例,无效例数分别为1(16.7%)、0(0.0%)、0(0.0%)例,3种分型患者疗效比较差异有统计学意义(P<0.05)。结论Galassi分型能帮助了解中颅窝蛛网膜囊肿合并慢性硬膜下血肿的临床特征,辅助诊疗策略的制订,病情评估及疗效判断。Objective To investigate the clinical features and therapeutic effect auxiliary value of Galassi classification in middle cranial fossa arachnoid cysts complicating chronic subdural hematoma.Methods The clinical data of 14 patients with middle cranial fossa arachnoid cyst complicating chronic subdural hematoma were retrospectively analyzed.The cases were grouped into the Galassi typeⅠ,ⅡandⅢby adopting the Galassi classification.The relationship between the middle cranial fossa arachnoid cyst complicating chronic subdural hematoma Galassi with the clinical characteristics,surgical treatment methods(borehole drainage/neuroendoscopic surgery/craniotomy)and the treatment methods was summarized.Results Among 14 cases of middle cranial fossa arachnoid cyst complicating chronic subdural hematoma,4 cases were located in the left side of the middle cranial fossa and 10 cases located in the right side.There were 6 cases of Galassi typeⅠ,5 cases of Galassi typeⅡand 3 cases of Galassi typeⅢ.The age,injury history,cyst and hematoma location had statistically significant differences among the three types(P<0.05).There was no statistically significant difference in the age and coagulation function among the three groups(P>0.05).In the 6 cases of Galassi typeⅠ,the drilling drainage had 5 cases,and the endoscopic surgery had 1 case;in the 5 cases of Galassi typeⅡ,the drilling drainage had 2 cases,the endoscopy had 1 case and the craniotomy had 2 cases;in the 3 cases of Galassi typeⅢ,the drilling drainage had 0 case,the endoscopy had 1 case and the craniotomy had 2 cases;during the follow-up 1 year after surgery,the number of cured cases in three types of treatment method were 4 cases(66.6%),3 cases(16.7%)and 2 cases(16.7%)respectively,the numbers of remission cases were 3 cases(60.0%),2 cases(40.0%)and 0 case respectively.The numbers of ineffective cases were 1 case(16.7%),0 cases(0.0%)and 0 cases(0.0%)respectively,the difference in the curative effect among the patients with 3 Galassi types was statistically si

关 键 词：Galassi分型 蛛网膜囊肿 硬膜下血肿 中颅窝 

分 类 号：S857.141[农业科学—临床兽医学]