Rathke囊肿的诊断及神经内镜手术治疗
Diagnosis and Neuroendoscope Treatment for Rathke’s Cleft Cyst

作者: 吴永刚 * , 张 诚 , 黄啸元 , 杨小朋 :新疆维吾尔自治区人民医院神经外科,新疆 乌鲁木齐;

关键词: Rathke囊肿神经内镜经蝶入路Rathke’s Cleft Cysts Neuroendoscopes Endonasal Transsphenoidal Approach

摘要:
目的:提高Rathke囊肿的术前诊断率和总结神经内镜下切除Rathke囊肿的手术技术,并评价其疗效。方法:采用神经内镜经单鼻孔–蝶窦入路切除Rathke囊肿12例。结果:8例全切除、4例次全切除,症状均明显改善,无明显并发症发生,手术耗时较经鼻蝶窦入路显微镜下手术、开颅手术明显缩短。结论:神经内镜下经单鼻孔–蝶窦路径切除Rathke囊肿是一种有效的微侵袭手术方法。

Abstract: Objective: To improve the preoperative diagnostic rate of Rathke’s Cleft Cysts and summarize the surgical technique of neural endoscopic resection on Rathke’s Cleft Cysts, and evaluate its curative effect. Methods: All 12 Rathke’s cleft cysts cases were used the endoscopic endonasal transsphenoidal surgery. Results: 8 cases of total tumor resection were achieved, and 4 cases of subtotal tumor resection were obtained. Symptoms were obviously alleviated without apparently complications. The operation duration was obviously shorter than transsphenoidal microsurgical procedure and craniotomy. Conclusion: The endonasal transsphenoidal approach with the neuroendoscope can be an effective minimally invasive method for Rathke’s cleft cysts removal.

文章引用: 吴永刚 , 张 诚 , 黄啸元 , 杨小朋 (2016) Rathke囊肿的诊断及神经内镜手术治疗。 外科, 5, 65-70. doi: 10.12677/HJS.2016.53011

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