【摘要】 目的分析鞍区Rathke’s囊肿的MRI特征和评价经鼻蝶窦入路显微手术的疗效。方法 37例经病理证实为鞍区Rathke’s囊肿,均采用经鼻蝶入路显微手术清除囊内容物。结果术后头痛及视功能障碍全部得到缓解,12例内分泌症状者中10例恢复正常,随访6个月至5年,无1例复发。结论鞍区Rathke’s囊肿MRI复杂多变,有时较难作出正确诊断,经鼻蝶窦显微外科手术是治疗本病的安全有效方法 。更多还原

【Abstract】 Objective To analyse the MRI feature and to assess the outcome of transsphenoidal microsurgery of Rathke’s cysts.Methods Transsphenoidal microsurgical operation were performed in 37 cases of Rathke’s cysts which were confirmed by pathology.Results Afer treatment headache and visual defect were mended in all patients,in which 10 of 12 cases with a endocrine turbulence restore to normal.With follow up from 6 months to 5 years,the group had no case of recurrence. Conclusion MRI of Rathke’s cysts can be complex,it is difficult to form a correct clinical diagnosis sometimes. Transsphenoidal microsurgery is an effective and safe method for treating Rathke’s cysts.更多还原