CAJ | 학술논문

目的研究分析囊肿-腹腔分流术治疗儿童颅内蛛网膜囊肿的方法及其有效性和安全性.方法采用囊肿-腹腔分流术治疗儿童颅内蛛网膜囊肿358例,术前主要根据影像学结果选择不同的分流管,在显微镜下完成囊腔内的置管过程.结果颅内蛛网膜囊肿颞窝的发生率为60.6%,1年内手术有效率为97.2%,术后分流管阻塞率为1.7%,术后感染率为1.1%.结论囊肿-腹腔分流术治疗儿童颅内蛛网膜囊肿安全有效,具有操作简单、对脑组织干扰小等特点.
목적 연구분석낭종-복강분류술치료인동로내주망막낭종적방법급기유효성화안전성.방법 채용낭종-복강분류술치료인동로내주망막낭종358례,술전주요근거영상학결과선택불동적분류관,재현미경하완성낭강내적치관과정.결과 로내주망막낭종섭와적발생솔위60.6%,1년내수술유효솔위97.2%,술후분류관조새솔위1.7%,술후감염솔위1.1%.결론 낭종-복강분류술치료인동로내주망막낭종안전유효,구유조작간단、대뇌조직간우소등특점.
Objective Evaluated our experience in the management of arachnoid cysts in children applying cysto-peritoneal (C-P) shunt in ten years. Methods Between January 1997 and December 2007,358 pediatric patients with arachnoid cyst underwent C-P shunt.Different shunt tubes were selected according to the neuroimaging. Microscopically, a small hole were opened, and tube were placed into the cysts about 2～3 cm. Result The effective power of C-P shunting was about 97.2%, and about 1.7% was obstructed, 1.1% infected. Conclusions C-P shunting is a simple,safe,effective method to treat the intracranial arachnoid cysts in pediatric populations.