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目的探讨鞍上池囊肿的临床特点和内镜治疗方法。方法回顾性分析了42例通过内镜治疗的鞍上池囊肿患者,其中男22例,女20例,年龄6个月至53岁,平均年龄10.4岁,临床上主要表现为颅高压症状、行走不稳、视力视野障碍。所有患者术前行 CT 和 MRI 检查,均伴有脑积水。42例中39例行内镜下囊肿-脑室造瘘术,3例同时行囊肿-脑池造瘘术。术后平均随访20.8个月。结果本组病例无手术死亡者,2例患者(4.8%)发生术后并发症。25例(59.5%)患者症状完全缓解,14例患者(33.3%)症状改善,3例因复发脑积水再行脑室-腹腔分流术。术后 CT 和/或 MR 检查示囊肿体积有不同程度缩小,造瘘口处和导水管脑脊液流动通畅。结论内镜下囊肿-脑室、脑池造瘘术是治疗鞍上池囊肿安全、有效的方法。
Objective To investigate the clinical features and endoscopic treatment of suprasellar cistern. Methods A retrospective analysis of 42 patients with suprasellar cistern treated by endoscopic surgery patients, including 22 males and 20 females, aged 6 months to 53 years, with an average age of 10.4 years, the clinical manifestations of symptoms of intracranial hypertension, walking Instability, visual field disorders. All patients underwent preoperative CT and MRI examination, are associated with hydrocephalus. In 42 cases, 39 cases underwent endoscopic cyst-ventriculostomy and 3 cases underwent cyst-to-cisterostomy at the same time. After an average of 20.8 months follow-up. Results In this group of patients without surgical death, two patients (4.8%) had postoperative complications. Symptoms were completely relieved in 25 patients (59.5%), symptoms were improved in 14 patients (33.3%), and retrograde ventriculoperitoneal shunt in 3 patients due to recurrent hydrocephalus. Postoperative CT and / or MR examination showed cyst volume decreased to varying degrees, fistula and aqueduct cerebrospinal fluid flow. Conclusion Endoscopic cysts - ventricles, cisternostomy is a safe and effective method for the treatment of suprasellar cysts.