CAJ | 학술논문

目的探讨内镜经蝶手术治疗症状性Rathke's囊肿的疗效和安全性. 方法新疆医科大学第一附属医院神经外科自2007年1月至2014年12月应用内镜经蝶手术治疗鞍区Rathke's囊肿24例,回顾性分析患者的临床资料和疗效. 结果 24例Rathke's囊肿全切除0例,部分切除24例.16例头痛患者术后4例缓解,12例治愈;9例视力下降或视野缺损患者术后3例恢复正常,5例好转,1例无明显变化;21例内分泌功能紊乱患者术后2例恢复正常,2例术前垂体后叶功能障碍患者术后多饮症状明显好转.1例患者术后出现一过性尿崩;9例出现一过性甲状腺激素降低,孕酮、促卵泡激素(FSH)、促黄体生成素(LH)、生长激素(GH)及泌乳素(PRL)紊乱患者全部恢复正常;1例术后复发并再次手术. 结论内镜经蝶手术治疗症状性Rathke's囊肿创伤小、安全、术后复发率低,疗效较好.
목적 탐토내경경접수술치료증상성Rathke's낭종적료효화안전성. 방법 신강의과대학제일부속의원신경외과자2007년1월지2014년12월응용내경경접수술치료안구Rathke's낭종24례,회고성분석환자적림상자료화료효. 결과 24례Rathke's낭종전절제0례,부분절제24례.16례두통환자술후4례완해,12례치유;9례시력하강혹시야결손환자술후3례회복정상,5례호전,1례무명현변화;21례내분비공능문란환자술후2례회복정상,2례술전수체후협공능장애환자술후다음증상명현호전.1례환자술후출현일과성뇨붕;9례출현일과성갑상선격소강저,잉동、촉란포격소(FSH)、촉황체생성소(LH)、생장격소(GH)급비유소(PRL)문란환자전부회복정상;1례술후복발병재차수술. 결론 내경경접수술치료증상성Rathke's낭종창상소、안전、술후복발솔저,료효교호.
Objective To discuss the efficacy and safety of endoscopic endonasal transsphenoidal surgery for sympatomatic Rathke' s cleft cysts.Methods The clinical manifestations, imaging features, surgical methods, pathology features, postoperative complications, postoperative recurrence and outcomes of 24 patients with Rathke's cleft cysts, admitted to our hospital from January 2007 to December 2014, were reviewed retrospectively.Results Total resection was achieved in 0 patient and subtotal resection was achieved in 24 patients.In the 16 patients with headache, 4 got relief and 12 achieved cure.In the 9 patients with hypopsia, 3 recovered to normal, 5 got improvement and one enjoyed no obvious changes.In the 21 patients with endocrine function disorder, 2 recovered to normal, 2 got improvement and one had transient diabetes insipidus.One patient appeared transient diabetes insipidus.Nine patients had transient decreased thyroid hormones, and those patients with progesterone, follicle stimulating hormone, luteinizing hormone, growth hormone and prolactin disorders recovered to normal;one patient got postoperative recurrence and accepted surgery for the second time.Conclusion Endoscopic endonasal transsphenoidal surgery is a rational choice for sympatomatic Rathke' s cleft cysts, which can effectively perform the cyst drainage and resection of the capsule wall, enjoying small trauma, safety and low postoperative recurrence rate.