【摘要】 目的总结20例鞍上囊肿的临床表现、手术方法及疗效。方法术前均行CT和M RI检查,明确鞍上囊肿的诊断以及中脑导水管是否存在梗阻。手术中探查导水管上口情况,根据有无梗阻,行内镜下脑室囊肿造瘘术或脑室囊肿脑池造瘘术。结果16例术前诊断和术中探查证实存在导水管梗阻,行脑室囊肿脑池造瘘术;4例无导水管梗阻,行脑室囊肿造瘘术。术后随访3￣6个月,19例术后症状明显改善,1例无明显变化。结论鞍上囊肿主要表现为脑积水症状;内镜下行脑室囊肿造瘘术或脑室囊肿脑池造瘘术治疗鞍上囊肿疗效较好。更多还原

【Abstract】 Objective To report the clinical manifestations, operation procedures and curative effect of 20 patients with suprasellar arachnoid cysts. Methods CT and MRI scannings were performed before the operation in all patients to determine the diagnosis of suprasellar arachnoid cysts and whether there was aqueductal obstruction. Endoscopic ventriculocystostomy or ventriculocystocisternostomy were performed according to preoperative diagnosis or intra-operation detection of aqueduct. Results Ventriculocystocisternostomy was performed in 16 patients with existence of aqueductal obstruction confirmed by pre-operation and intra-operation detection, and ventriculocystostomy in the other 4 with no aqueductal obstruction. Follow-up ranged from 3 to 6 months, 19 patients recovered, and 1 remained unchanged. Conclusion Endoscopic ventriculocystostomy or ventriculocystocisternostomy provides an effective treatment for suprasellar arachnoid cysts characterized by hydrocephalus.更多还原