【摘要】 目的:探讨鞍区Rathke囊肿的诊断和手术治疗。方法:对6例Rathke囊肿病例采用单鼻孔蝶窦入路、翼点入路和眉弓锁孔入路显微神经外科手术治疗,切除部分囊壁,敞开囊腔,清除囊肿内容物。结果:术后随诊6mo～3a,本组症状均有缓解,3a均未复发。结论:鞍区Rathke囊肿CT、MRI检查无特异性,术前较难明确诊断。经单鼻孔蝶窦入路显微外科手术是其有效治疗方法,可以明确诊断,缓解症状,病人预后良好,是治疗垂体Rathke囊肿的有效办法。更多还原

【Abstract】 Objective:To investigate the diagnosis and the treatment of surgery of Rathke’s cyst.Methods: 3 cases were treated by transsphenoidal microsurgery,2 cases were treated through craniotomy,1 cases were treated through superciliary arch.In the operation,the content of the cysts were moved and drainaged,the cyst wall were partially moved and keeped opening.Results:Symptom of this group were all resolved.No patient recurred.Conclusion:It is difficult to establish the correct diagnosis of Rathke’s cleft cysts before operation.The Magnetic Resonance Imaging signal was multiple and nonspecific.Transsphenoidal microsurgery can prove the diagnosis,resolve the symptoms.Transsphenoidal microsurgery is the effective way to treat the Rathke’s cleft cysts.更多还原