应用神经内镜治疗中颅窝蛛网膜囊肿

Neuroendoscopic Surgery For Arachnoid Cysts of Middle Cranial Fossa

目的:探讨神经内镜治疗中颅窝蛛网膜囊肿的有效性、安全性,为该类疾病的治疗提供新的方法和依据。方法:根据影像学的分型,采用神经内镜对16例中颅窝蛛网膜囊肿进行囊肿壁部分切除及造瘘术。结果:11例行囊肿壁大部切除及邻近脑池造瘘;5例行囊壁部分切除及邻近脑池造瘘。术后除1例出现动眼神经麻痹,1例出现硬膜下积液,2例发热外,大部分病例症状改善明显。结论:应用神经内镜治疗中颅窝蛛网膜囊肿手术创伤小,并发症少,疗效好。

Objective：To study the utility,safety and microtramatity of rigid neuroendoscopic therapy for arachnoid cysts of middle cranial fossa.Methods：16 patients with arachnoid cysts of middle cranial fossa who had accepted endoscopical surgery were retrospectively analyzed.The endoscopic procedures included partial stripping of arachnoid membranes combined with cysto-ventriculostomy.Results：11 cases accepted subtotal stripping of arachnoid membranes combined with cysto-ventriculostomy,and 5 cases accepted partial stripping of arachnoid membranes combined with cysto-ventriculostomy.The most patients had got obviously improvement except 1 case of oculomotor nerve paralysis,1 case of subdural collection of fluid,and 2 cases of fever.Conclusion：The rigid endoscope can be used safely,conveniently to treat arachnoid cysts with microtrauma and has curative effect.