[1]周章明,涂汉军,袁先厚,等.透明隔囊肿的神经内镜手术治疗[J].中国微创外科杂志,2005,05(12):1048-1049.
　Zhou Zhangming,TuHanjun*,Yuan Xianhou,et al.Endoscopic neurosurgery for the treatment of septum pellucidum cysts[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1048-1049.
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透明隔囊肿的神经内镜手术治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1048-1049
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
Endoscopic neurosurgery for the treatment of septum pellucidum cysts
作者:
周章明; 涂汉军; 袁先厚; 秦军; 李新建; 付锐　
郧阳医学院附属太和医院神经外科,十堰,442000
Author(s):
Zhou Zhangming;  TuHanjun*;  Yuan Xianhou;  et al.
Department ofNeurosurgery, TaiheHospital ofYunyangMedicalCollege, Shiyan442000, China
关键词:
透明隔囊肿; 神经内镜; 微创神经外科; 造瘘术
Keywords:
Septum pellucidum cyst; 　Neuroendoscopy; 　Minimally InvasiveNeurosurgery; 　Ventriculostomy
分类号:
R739.41
文献标志码:
A
摘要:
目的探讨有症状的透明隔囊肿的神经内镜手术治疗方法及应用价值.方法采用德国产Storz外径4.0mm神经内镜经纵裂入路及经额角入路行囊肿-侧脑室造瘘术治疗有症状的透明隔囊肿12例,头痛、癫痫及精神症状为主要临床表现,其中2例合并脑积水.结果12例术后症状均改善,其中以颅高压症为主要表现者6例中,4例症状完全消失,2例减轻,4例癫痫发作者未再发作.12例随访6个月～2年,平均18个月,复查CT或MRI囊肿缩小＜50%7例,50%～90%3例,＞90%2例.2例脑积水均消失.结论对透明隔囊肿应用神经内镜行囊肿-侧脑室造瘘术微创、安全、有效.
Abstract:
Objective　To discuss the techniques and significance of neuroendoscopic treatment for symptomatic septum pellucidum cysts.　M ethods　A total of12 patientswith symptomatic septum pellucidum cystswere given a cyst-lateral ventricle ventriculostomy via a transcallosal and transventricular approach by using a neuroendoscope 4. 0 mm in external diameter (Storz, Germany). Headache, epilepsy, and mental symptoms were prominent clinicalmanifestations. Two patients were complicated with hydrocephalus.　Results　Improvement of symptoms was achieved postoperatively in all the 12 patients. Out of 6 patients with a major sign of intracranial hypertension, symptoms completely disappeared in 4 patients and improved in 2 patients. Four patientswith epilepsy attacks had no recurrence. A follow-up wasmade in 12 patients for6~24 months (mean, 18 months). Re-examinations ofCT orMRI showed the cysts had decreased in size by <50% in 7 patients, by 50% ~90% in 3 patients, and by >90% in 2 patients. The lesions completely disappeared in 2 patients with hydrocephalus.　Conclusions　Neuroendoscopic cyst- lateral ventricle ventriculostomy for septum pellucidum cysts is a safe, effective, andminimally invasive operation.

参考文献/References:

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备注/Memo

备注/Memo:
①（武汉大学2005级博士研究生,于湖北省十堰市郧阳医学院附属太和医院神经外科工作 ）②（武汉大学中南医院神经外科,武汉,430071）
更新日期/Last Update: 2014-04-29