儿童颅内蛛网膜囊肿的手术探讨

目的：探讨儿童颅内蛛网膜囊肿的手术适应证和手术方法。方法：回顾我院52例手术患儿的临床资料，对不同手术方式进行总结，结果：采用4种手术方式，其中囊肿切除术17例，囊肿切除并脑池开放手术21例，囊肿－腹腔分流术8例，脑立体定向手术6例，术后随访3个月以上，症状改善率86．5％，CT证实囊肿缩小者76．8％，不同术式比较，囊肿切除并脑池开放手术效果良最好，其症状改善率达90．5％，囊肿缩小者占80．7％，结论：对儿童颅内蛛网膜囊肿应采取积极的手术治疗，手术方式首先囊肿切除并脑池开放手术。

A clinical study on surgical operation of intracranial arachnoid cyst in children

Objective To investigate surgical indications and techniques for intracranial arachnoid cyst in children.Methods Clinical data from 52 surgical cases were studied retrospectively in our hospital, and different methods of operation were analyzed comparatively. Results Four operation methods were adopted,in which cyst removal were performed in 17,cyst removal plus cisternal opening in 21,cyst peritoneal shunt in 8,and stereotactic operation in 6. Upon follow up more than three months after aperation, the chief symptoms got improved in 86.5% of the patients, and CT scan showed that the size of cyst became smaller in 76.9% of the patients. Among the above operations, cyst removal plus cisternal opening gave the best results,with its symptoms getting improved in 90.5% and cysts shrunk in 80.7% .Conclusions An aggressive attitude should be adopted in the treatment of intracranial arachnoid cyst in children, and the operation of cyst removal plus cisternal opening is preferred.