囊肿-腹腔分流术治疗儿童颞部蛛网膜囊肿

The use of cysto-peritoneal shunt to treat intracranial temporal arachnoid cysts in children

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。

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 ＆gt;50%in 9 cases, and reduced ＆lt;50%in 3 cases.After surgery of 12 months, 12 cases of cysts shrink head CT showed 7 cysts disappeared , reduced＆gt;50%in 4 cases, and reduced ＆lt;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 .