CAJ | 학술논문

目的探讨症状性颅内蛛网膜囊肿(IAC)的手术治疗方法、适应证及其治疗效果.方法回顾性分析南通大学附属医院神经外科自2000年1月至2010年1月收治的32例IAC患者临床资料,总结其手术方法及疗效. 结果本组2例保守治疗的患者失随访.随访结束时,23例(72％)患者症状明显改善(囊肿体积缩小或临床症状缓解),6例(18％)患者症状无改变(临床症状和囊肿大小无改变),1例(3.1％)巨大鞍区-鞍上区IAC患者症状加重(临床症状恶化或囊肿增大)；术后影像学检查显示囊肿消失4例(12.5％),囊肿缩小16例(50％),囊肿大小无改变12例(37.5％). 结论 IAC的主要手术适应证是颅内高压、确切的神经系统损害、脑组织压迫.显微外科手术以及神经内镜是治疗IAC的有效方法.
목적 탐토증상성로내주망막낭종(IAC)적수술치료방법、괄응증급기치료효과.방법 회고성분석남통대학부속의원신경외과자2000년1월지2010년1월수치적32례IAC환자림상자료,총결기수술방법급료효. 결과 본조2례보수치료적환자실수방.수방결속시,23례(72％)환자증상명현개선(낭종체적축소혹림상증상완해),6례(18％)환자증상무개변(림상증상화낭종대소무개변),1례(3.1％)거대안구-안상구IAC환자증상가중(림상증상악화혹낭종증대)；술후영상학검사현시낭종소실4례(12.5％),낭종축소16례(50％),낭종대소무개변12례(37.5％). 결론 IAC적주요수술괄응증시로내고압、학절적신경계통손해、뇌조직압박.현미외과수술이급신경내경시치료IAC적유효방법.
Objective To explore the clinical features and surgical indications of patients with symptomatic intracranial arachnoid cyst (IAC) and their surgical effect. Methods We retrospectively reviewed the clinical data of 32 patients with IAC,admitted to our hospital from January 2000 to January 2010. Post-therapeutic results were clinically and radiologically assessed. Results The follow-up ranged from 12 to 108 months; 2 patients received conventional treatment were lost of follow-up.Good outcome was noted in 23 patients (shrank cyst volume or alleviated clinical symptoms,72％); 6 patients (no changes in cyst volume or clinical symptoms,18％) remained unchanged,while only 1 (3.1％) had worsened giant suprasellar cyst. lmageological diagnosis showed disappearance of cyst in 4 (12.5％),decreased volume of cyst in 16 (50％) and no changes of cyst in 12 (37.5％). Conclusion The major indications of surgery for IAC include intracranial hypertension, damage in nervous system and compression of the cerebral tissues. Surgery excision and marsupialization of symptomatic patients can provide good results.