摘要
目的探讨神经内镜下经鼻蝶治疗鞍区Rathke囊肿的手术疗效、方法和技巧。方法回顾性分析2012年1月～2013年2月10例术后病理证实为鞍区Rathke囊肿的临床资料。临床主要表现为头痛、头晕及视力下降。均采用神经内镜下单鼻孔经蝶入路。结果10例术中均完全清除囊液，大部分切除囊壁，术后患者头痛、头晕症状均消失，视力均较术前提高，未出现明显并发症，术后住院时间3～8d，平均6d。术后随访1—13个月，平均6个月，未见复发。结论神经内镜单鼻孔经蝶切除鞍区Rathke囊肿创伤小，术野清晰，能完全清除囊液，大部分切除囊壁，手术操作简单、安全，术后并发症少，恢复快，是治疗鞍区Rathke囊肿的理想治疗方法。
Objective To investigate the effect, methods and technical aspects of neuroendoscopic transnasal transsphenoidal surgery for Rathke cleft cysts （RCC） in sellar regions. Methods We retrospectively reviewed the clinical data of 10 patients with a diagnosis of RCC in sellar regions after neuroendoscopic transnasal transsphenoidal resection from January 2012 to February 2013. Patients＇ clinical manifestations were headaches, dizziness and visual disturbance. Results Of all the 10 cases, cyst contents were completely removed and cyst walls were mostly resected. All patients achieved an improvement in clinical symptoms after the surgery. Headaches and dizziness disappeared. No obvious complications occurred. The average hospital stay was 6 d （range, 3 -8 d）. 10 cases were followed up for 1 - 13 months （mean, 6 months） after the surgery and no relapse was observed. Conclusions The neuroendoscopic transnasal transsphenoidal surgery for RCC in sellar regions is minimally invasive. It has clear exposure of operation field, and can completely remove the cyst. It also has the advantage of quick recovery and few complications. Therefore, neuroendoscopic transnasal transsphenoidal surgery is a safe and effective approach for the treatment of RCC in sellar regions.
出处
《中国微创外科杂志》
CSCD
2013年第9期835-837,共3页
Chinese Journal of Minimally Invasive Surgery
