颅内蛛网膜囊肿手术的治疗体会

目的：探讨颅内蛛网膜囊肿的手术治疗方式及其疗效。方法回顾性分析35例手术治疗的颅内蛛网膜囊肿患者的临床资料,其中行显微镜下囊壁部分切除＋囊肿-脑池造瘘术16例,囊肿-腹腔分流术11例,脑室镜下囊壁部分切除＋囊肿-脑室或脑池造瘘术8例。结果随访6个月～2年,30例患者经手术治疗后症状明显改善,33例患者蛛网膜囊肿体积显著减小。结论蛛网膜囊肿患者一旦产生临床症状,均应积极手术治疗,应综合考虑患者的年龄、囊肿位置、大小等因素,进行个体化手术方式。

Experience of surgical treatment of intracranial arachnoid cyst

Objective To explore the surgical approaches of intracranial arachnoid cyst and the effects. Methods The clinical data of 35 patients with intracranial arachnoid cyst treated with surgery were retrospectively analyzed.The microscope cystic wall resection＋cyst-cisternal stoma was conducted in 16 cases,cyst-abdominal cavity stoma was conducted in 11 cases,ventricle endoscopic partial resection of cyst wall＋ventricular or cisternal stoma was conducted in 8 cases. Results Patients were followed-up for 6 months to 2 years.The symptoms of 30 patients got improved after treatment. Significant reduction of cyst size was found in 33 cases of arachnoid cysts.Conclusion Patients with symptomatic arachnoid cysts should be treated actively,and such factors as the age,the size and position of cyst should be considered comprehensively to choose individual operation method.