CAJ | 학술논문

目的：研究Rathke囊肿的最佳手术治疗方案。方法将我院80例Rathke 囊肿患者以随机数表法分为观察组与对照组，均40例，观察组采取经鼻蝶入路囊液引流术，对照组为囊液引流囊壁大部分切除术，随访观察两组的临床疗效及安全性。结果观察组1年随访后症状消失、缓解、复发率分别为62.5%、32.5%、5.0%，与对照组50.0%、40.0%、10.0%比较无显著差异（P＞0.05）；观察组术后并发症发生率为17.5%与对照组47.5%比较显著较低（P＜0.05）。结论经鼻蝶入路囊液引流术治疗Rathke囊肿疗效确切，安全性高。
목적：연구Rathke낭종적최가수술치료방안。방법장아원80례Rathke 낭종환자이수궤수표법분위관찰조여대조조，균40례，관찰조채취경비접입로낭액인류술，대조조위낭액인류낭벽대부분절제술，수방관찰량조적림상료효급안전성。결과관찰조1년수방후증상소실、완해、복발솔분별위62.5%、32.5%、5.0%，여대조조50.0%、40.0%、10.0%비교무현저차이（P＞0.05）；관찰조술후병발증발생솔위17.5%여대조조47.5%비교현저교저（P＜0.05）。결론경비접입로낭액인류술치료Rathke낭종료효학절，안전성고。
Objective To study the optimum operation treatment of Rathke's cleft cyst.Methods80 cases of Rathke cyst patients with random number table method were divided into observation group and control group, 40 cases in observation group was taken transsphenoidal cystic drainage, the control group was given cystic fluid drainage of cyst wall resection, observed clinical curative effect and safety of two groups. ResultsIn observation group, after followed-up for 1 year, symptoms alleviated, disappeared, the recurrence rate were respectively 62.5%, 32.5%, 5%, and control group 50%, 40%, 10%, differences were no significant (P<0.05), the incidence of postoperative complications in observation group 17.5% compared to control group 47.5% were significantly lower (P<0.05). ConclusionThe effect of transsphenoidal cyst fluid drainage surgical in treatment of Rathke cyst is exact, with high safety..