中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
4期
504-507
,共4页
王宣之%江晓春%戴易%徐善水
王宣之%江曉春%戴易%徐善水
왕선지%강효춘%대역%서선수
颞叶%蛛网膜囊肿/外科学%脑室腹膜分流术%儿童%回顾性研究
顳葉%蛛網膜囊腫/外科學%腦室腹膜分流術%兒童%迴顧性研究
섭협%주망막낭종/외과학%뇌실복막분류술%인동%회고성연구
Temporal lobe%Arachnoid cysts/surgery%Ventriculoperitoneal shunt%Child%Retrospective studies
目的:总结囊肿-腹腔分流手术治疗儿童颞部蛛网膜囊肿的临床经验。方法回顾性分析2009年6月至2012年8月应用囊肿-腹腔分流术治疗儿童颞部蛛网膜囊肿16例临床资料,分析其手术方式及预后。结果16例患儿术后随访2个月至2.5年,5例术前症状消失,16例术后6个月复查头颅CT示:囊肿消失4例(25.0%),囊肿缩小12例(75.0%),其中缩小>50%者9例,缩小<50%者3例。12例囊肿缩小者术后1年行头颅CT检查,其中囊肿消失7例,缩小>50%者4例,缩小<50%者1例。1例术后2个月头颅CT提示囊肿缩小伴左侧额部硬膜下积液,2年后行头颅CT复查示囊肿消失,左侧额部硬膜下积液吸收。未发生严重并发症及感染。结论囊肿-腹腔分流术治疗儿童颞部蛛网膜囊肿安全有效,预后好。
目的:總結囊腫-腹腔分流手術治療兒童顳部蛛網膜囊腫的臨床經驗。方法迴顧性分析2009年6月至2012年8月應用囊腫-腹腔分流術治療兒童顳部蛛網膜囊腫16例臨床資料,分析其手術方式及預後。結果16例患兒術後隨訪2箇月至2.5年,5例術前癥狀消失,16例術後6箇月複查頭顱CT示:囊腫消失4例(25.0%),囊腫縮小12例(75.0%),其中縮小>50%者9例,縮小<50%者3例。12例囊腫縮小者術後1年行頭顱CT檢查,其中囊腫消失7例,縮小>50%者4例,縮小<50%者1例。1例術後2箇月頭顱CT提示囊腫縮小伴左側額部硬膜下積液,2年後行頭顱CT複查示囊腫消失,左側額部硬膜下積液吸收。未髮生嚴重併髮癥及感染。結論囊腫-腹腔分流術治療兒童顳部蛛網膜囊腫安全有效,預後好。
목적:총결낭종-복강분류수술치료인동섭부주망막낭종적림상경험。방법회고성분석2009년6월지2012년8월응용낭종-복강분류술치료인동섭부주망막낭종16례림상자료,분석기수술방식급예후。결과16례환인술후수방2개월지2.5년,5례술전증상소실,16례술후6개월복사두로CT시:낭종소실4례(25.0%),낭종축소12례(75.0%),기중축소>50%자9례,축소<50%자3례。12례낭종축소자술후1년행두로CT검사,기중낭종소실7례,축소>50%자4례,축소<50%자1례。1례술후2개월두로CT제시낭종축소반좌측액부경막하적액,2년후행두로CT복사시낭종소실,좌측액부경막하적액흡수。미발생엄중병발증급감염。결론낭종-복강분류술치료인동섭부주망막낭종안전유효,예후호。
Objective To summarize the clinical experience of the temporal arachnoid cysts in children with cysto-peritoneal shunt.Methods The clinical data of 16 patients from June 2009 to August 2012 of children with the temporal arachnoid cysts taken by cysto-peritoneal shunt were analyzed retrospectively .The surgical procedure and prognosis were also analyzed .Results Sixteen ca-ses of follow-up from 2 to 30 months after surgery showed 5 cases of preoperative symptoms disappeared .After surgery of 6 months, the head computed tomography (CT) showed 4 cysts disappeared (25.0%), 12 cysts shrink (75.0%), reduced >50%in 9 cases, and reduced <50%in 3 cases.After surgery of 12 months, 12 cases of cysts shrink head CT showed 7 cysts disappeared , reduced>50%in 4 cases, and reduced <50%in 1 cases.1 case after surgery of 2 months with head CT showed the cysts shrink and had left frontal subdural effusion;Two years later the cranial CT scan showed the cysts disappeared and the left frontal subdural effusion absorption . No serious complications and infections were observed .Conclusions Cysto-peritoneal shunt might be a safe and effective method to treat intracranial temporal arachnoid cysts in children and had good prognosis .