【摘要】 目的:探讨症状性Rathke囊肿的诊断和治疗方法。方法:18例症状性Rathke囊肿病例均采用经单鼻孔蝶窦入路显微外科手术治疗,切除部分囊壁,敞开囊腔,清除囊肿内容物。结果:术后随诊3个月至10年,18例患者的症状均有缓解,4例患者术后复发。结论:鞍区症状性Rathke囊肿术前较难明确诊断,CT/MRI检查呈多样性,无特异性。经单鼻孔蝶窦入路显微外科手术可明确诊断,缓解症状,患者预后良好,是治疗垂体Rathke囊肿的有效方法。病例复发与鳞状上皮化生有关。更多还原

【Abstract】 Objective: To explore a better method for diagnosing and treating symptomatic Rathke′s cleft cysts.Method: A total of 18 patients with symptomatic Rathke′s cleft cysts was treated with trans-sphenoidal microsurgical procedures comprised dissection of partial cyst wall and resection of the content from the cysts.Result: During a follow-up from 3 months to 10 years,all the patients had their symptoms somewhat alleviated except that 4 had relapse.Conclusions: The result of computed tomography and magnetic resonance imaging are multiple and nonspecific,and therefore it is difficult to clear diagnose symptomatic Rathke′s cleft cysts before operation,while trans-sphenoidal microsurgical procedure is helpful in clear diagnosing and treating symptomatic Rathke′s cleft cysts.Squamous metaplasia seems to increase the risk of relapse.更多还原