CAJ | 학술논문

目的：对采用神经内镜治疗颅内蛛网膜囊肿（ IAC）患者治疗效果进行分析。方法收集两家医院神经外科42例颅内蛛网膜囊肿（ IAC）患者。其中未使用神经内镜的单纯显微外科手术（ A组）24例，直接或配合使用神经内镜手术（ B组）18例。通过临床病历资料的回顾性分析，对比是否使用神经内镜（ A，B两组间）对患者手术住院时间、术后并发症、临床症状的改善、术后随访囊肿复发或变化等方面产生的相关统计学差异。结果符合纳入标准的42例患者，均采用了显微神经外科手术治疗，依据是否使用神经内镜又可分为2组：未使用神经内镜（A组），直接或配合使用神经内镜（B组）。术后大部分病人临床症状得到改善或控制，复查颅脑CT或MRI均显示囊腔较前有所缩小，手术疗效明显。 B组术式在减少术后并发症和囊肿复发率及缩短手术和住院时间方面较A组有明显优势。结论神经内镜技术适应性广，疗效确切，是微创治疗颅内蛛网膜囊肿的发展趋势，可以缩短手术及住院时间，减少术后并发症，降低IAC复发率，值得提倡。
목적：대채용신경내경치료로내주망막낭종（ IAC）환자치료효과진행분석。방법수집량가의원신경외과42례로내주망막낭종（ IAC）환자。기중미사용신경내경적단순현미외과수술（ A조）24례，직접혹배합사용신경내경수술（ B조）18례。통과림상병력자료적회고성분석，대비시부사용신경내경（ A，B량조간）대환자수술주원시간、술후병발증、림상증상적개선、술후수방낭종복발혹변화등방면산생적상관통계학차이。결과부합납입표준적42례환자，균채용료현미신경외과수술치료，의거시부사용신경내경우가분위2조：미사용신경내경（A조），직접혹배합사용신경내경（B조）。술후대부분병인림상증상득도개선혹공제，복사로뇌CT혹MRI균현시낭강교전유소축소，수술료효명현。 B조술식재감소술후병발증화낭종복발솔급축단수술화주원시간방면교A조유명현우세。결론신경내경기술괄응성엄，료효학절，시미창치료로내주망막낭종적발전추세，가이축단수술급주원시간，감소술후병발증，강저IAC복발솔，치득제창。
Objective To analyze the curative effects of neuroendoscopic treatment for patients with intracranial arachniod cyst ( IAC ) .Method The medical records of 42 patients of IAC in two hospitals were collected .24 cases ( A group ) were not used by the neural endoscopy ,18 cases ( B group) were not used by neural endoscopy .Through the retrospective analysis of clinical medical records , whether or not to use neural endoscopy between the two groups about hospital stays , postoperative complications , the improvement of clinical symptoms , postoperative follow-up, the change of cyst recurrence or the related statistical differences , were compared .Results Met the inclusion criteria of the 42 patients were all used by micr-osurgical treatment .According to whether the use of neural endoscopy were divided into two groups ,no use of endoscopy ( A group ) ,or simply using a microscope ( B group ) .Most of the clinical symptoms of patients improved or controled ,and head CT or MRI showed most cysts were shrinking than before ,and curative effects was significantly .Group B compared with group A has an advantage in reducing surgical complications ,the rate of cyst recurrence and the operational and hospital stay .Conclusions Neural endoscopic technology with wide adaptability and curative effects , is the development trend of minimally invasive treatment for IAC .It can shorten the operational and hospital stays , reduce the postoperative complications and recurrence rate of IAC , is worth promoting .