内镜经鼻蝶窦入路手术治疗Rathke囊肿

Treatment of Rathke’s cyst through endoscopic endonasal transsphenoidal approach

摘要:

目的 探讨内镜经鼻蝶窦入路切除Rathke囊肿的手术技术。方法 回顾性分析2004年12月～2010年12月治疗的Rathke囊肿患者18例，术前行头部MRI及内分泌学检查, 患者均接受内镜经鼻蝶窦入路手术，术中清除囊肿内容物，部分切除囊肿壁。 结果 该组患者无手术死亡，术后随访12～24个月，患者症状均有所改善，复查MRI未发现囊肿复发。 结论 内镜经鼻蝶窦入路手术是治疗Rathke囊肿微创、安全的方法。

Abstract:

【Objective】 To discuss the operative techniques of endoscopic transsphenoidal surgery for resection of Rathke’s cyst. 【Methods】 From Dec.2004 to Dec.2010, 18 cases of Rathke’s cyst were treated by endoscopic endonasal transsphenoidal operation. MR scan and endocrinological examinations were performed in all cases before operation. The content was removed and the wall was partly resected. 【Results】 No patients died during operation. All patients were followed up from 12 to 24 months with improved clinical symptoms. Recurrence was not found in MRI. 【Conclusion】 The endoscopic endonasal transsphenoidal operation was minimally invasive and safe in treatment of Rathke’s cyst.