摘要
目的探讨颅内蛛网膜囊肿的手术治疗方法及其适应证。方法回顾分析我院51例手术治疗患者临床资料。囊肿壁部分切除并脑池开放术26例,其中12例同时行癫痫手术;囊肿-腹腔分流术11例,神经内窥镜下囊肿造瘘术14例。结果患者术后均恢复良好,术后3～6个月复查头颅CT,囊肿消失或明显缩小者41例,无改变10例。随访3个月～8年,症状消失或改善45例,无改变5例,加重1例。12例行致痫灶切除术患者症状控制满意。结论神经内镜囊肿-脑池或脑室造瘘术,是治疗颅内蛛网膜囊肿的有效方法。对于伴有癫痫的患者,采取开颅囊肿壁切除并脑池开放同时行致痫灶切除术能提高患者术后生活质量。
Objective To explore the techniques and indications of the surgery for intracranial arachnoid cysts （IACs）. Methods The clinical data of 51 patients with ICAs undergoing surgery were anlyzed retrospectively. The craniotomy was performed for resecting part of the walls of IACs.in 26 patients, of whom, 12 with epilepsy underwent epileptic surgery. The cyst-peritoneal shunt was performed in 11 patients, and the endoscopic fenestration of ICAs in 14 cases. Results All the patients have good recovery after the operation. CT scans 3-6 months after the operation showed that IACs were completely obliterated or obviously decreased in 41 cases and unchanged in 10 cases. The Follow-up for 3 months-8 years showed that the symptoms disappeared or were relieved in 45 cases, unchanged in 5 cases and deteriorated only in 1 case. The seizures in 12 cases undergoing epileptic surgery were satisfactorily controlled. Conclusions The neuroendoscopical technique is an effective method of treating ICAs. In the patients with ICAs accompanied by intractable epilepsy, craniotomy for resecting part of the walls of ICAs and epileptic surgery can improve postoperative life quality.
出处
《中国临床神经外科杂志》
2005年第4期255-256,259,共3页
Chinese Journal of Clinical Neurosurgery
关键词
蛛网膜囊肿
手术方法
神经内窥镜
癫痫
Arachnoid cyst, Surgical technique
Neuroendoscope
Epilepsy
