| 颅内蛛网膜囊肿 |
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| 引用本文： | 谭方伦,庞军平,赵仰胜,马军,郎志谨.颅内蛛网膜囊肿[J].大连医科大学学报,1989(3). |
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| 作者姓名： | 谭方伦 庞军平 赵仰胜 马军 郎志谨 |
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| 作者单位： | 大连医学院附属第一医院神经外科，大连医学院附属第一医院神经外科，大连医学院附属第一医院神经外科，大连医学院附属第一医院放射线科，大连医学院附属第一医院放射线科 进修医师 |
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| 摘 要： | 本文报告经CT检查,手术和病理证实的颅内蛛网膜囊肿13例。表明:距脑室系统较近的囊肿以囊肿—脑室系统造瘘效果较好;伸向基底池的外侧裂部囊肿术后复发率较高,以囊壁部分切除,带蒂大网膜颅内移植为宜;对大脑突面囊肿,行局部硬脑膜骨瓣大部切除,外开放囊腔、颞肌贴敷可能有效。脑脊液切口漏是囊肿复发的早期征象也是术后死亡的重要原因。
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| 关 键 词： | 颅内 蛛网膜囊肿 |
INTRACRANIAL ARACHNOIDAL CYST |
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| Tan Fanglun,Dept. of Surgery,First Affficated Hospital,Dalian Medical College..INTRACRANIAL ARACHNOIDAL CYST[J].Journal of Dalian Medical University,1989(3). |
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| Authors: | Tan Fanglun Dept of Surgery First Affficated Hospital Dalian Medical College |
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| Abstract: | This paper included 13 cases of intracranial arachnoidal cyst which was diagnosed by CT scanning and proved by operation and pathological examination. It was suggested that the appropriate treatment for those cysts located nearby ventricular system was cyst-ventricular shunt, for those Sylvian fissure cysts extended to basal cisterns with high recurrence rate was partial resection of cyst wall and intracranial pedicled omental transplantation, and for those cysts over cerebral hemisphere was craniotomy with partial removal of overlaying dura matter and cyst wall. Incisional CSF leakage is the early sign of cyst recurrence and important cause of postoperative death. |
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| Keywords: | intracranial arachnoidal cyst |
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