临床神经外科杂志2011，Vol.8Issue(1)：34-35,2.DOI:10.3969/j.issn.1672-7770.2011.01.012
手术治疗颅内蛛网膜囊肿及其正常灌注压突破的防治
Surgical treatment of intracranial arachnoid cyst and prevention of normal perfusion pressure breakthrough
雷军荣 1秦军 1黄宽明 1张力 1段波 1周章明 1付锐1
作者信息
- 1. 442000,十堰,郧阳医学院附属太和医院神经外科
- 折叠
摘要
Abstract
Objective To analyze the result of surgical managements of intracranial arachnoid cysts(IAC) and investigate the protective measures and therapy methods of normal perfusion pressure breakthrough(NPPB) in IAC. Methods 37 patients with IAC underwent surgery, in whom 24 received partial resection and communication between cystic cavity and cistern, 3 received total resection and 10 received endoscopic surgery. Results The mean of follow up of seven months showed the symptoms and signs of 34 patients were improved significantly, 2 nonimproved and one died. 2 cases with large cystic and signs of skull compression in CT or MRI occurred NPPB. The cases received endoscopic surgery did not occurr NPPB. Conclusion Microsurgery is the first operative selection of IAC. Endoscopic surgery suit for patients with a high probability of NPPB. Head CT or MRI could supply a reference for the operation of IAC. Dehydration and hormone therapy are effective in treating NPPB.关键词
蛛网膜囊肿/手术/正常灌注压突破Key words
arachnoid cyst/operation/normal perfusion pressure breakthrough分类
医药卫生引用本文复制引用
雷军荣,秦军,黄宽明,张力,段波,周章明,付锐..手术治疗颅内蛛网膜囊肿及其正常灌注压突破的防治[J].临床神经外科杂志,2011,8(1):34-35,2.
