神经内镜下经鼻蝶窦入路手术治疗鞍区症状性 Rathke 囊肿

摘要

Objective To explore the clinical characteristic of Rathke′s cleft cyst and assess the effect of endoscopic en-donasal transsphenoidal surgery .Methods A retrospective research was performed on 9 patients who underwent endoscopic en-donasal transsphenoidal surgery .Neural endoscopic surgery by single nostril transsphenoidal approach ,partial resection of the cyst wall with drainage of the intracystic contents was performed in all patients .Results Symptoms in all patients were resolved or alle-viated .No CSF rhinorrhea ,permanent diabetes insipidus and hypopituitarism happened .All patients were followed up for 4 to 12 months and no recurrence was found .Conclusion Endoscopic endonasal transsphenoidal surgery is a effective method for symptom-atic Rathke′s cleft cysts .%目的：探讨症状性鞍区 Rathke 囊肿（RCC）的临床特点与神经内镜经鼻蝶手术的疗效。方法总结与分析所收治的9例 RCC 患者的临床资料。神经内镜下经单鼻孔-蝶窦入路进行手术，采用清除囊液加囊壁部分切除的方法实施治疗。结果患者临床症状均消失或者改善，无脑脊液漏、永久性尿崩与垂体功能低下，随访4～12个月，未见囊肿复发。结论采用神经内镜下囊液清除加囊壁部分切除的方法治疗 RCC ，能够有效缓解症状，具有并发症少、对内分泌干扰小的优点。