摘要
目的:探讨Rathke囊肿的临床特点,提高临床医生对本病的认识,减少误诊。方法:回顾性分析71例Rathke囊肿的病历资料和误诊情况。结果:Rathke囊肿女性多发(男:女=1:1.54)。临床表现以头痛、视力视野障碍、内分泌障碍为主。MRI检查T1WI可为高、低、等信号,T2WI70%为高信号、30%为低、等信号,部分病例增强后囊壁强化。69例经蝶窦入路,2例开颅手术切除囊肿。术后随诊3个月～10年,复发1例,占1.4%。结论:Rathke囊肿术前诊断困难,结合内分泌、影像学检查有助于准确诊断。症状性Rathke囊肿首选经蝶窦手术治疗,疗效良好,复发率低。
Objective： To explore the clinical characteristic of Rathke cleft cyst, to help doctors to recognise the disease,and to decrease the rate of misdiagnosis . Methods： To retrospectively analyze the clinial materials of 71 cases and the misdiagnosis condition. Results： The incedence rate of Rathke ceft cyst is higher in females. The clinical manifestations of the disease are headache, visual field deficency, dyscrinism. On T2-weighted image, 70% cases are hyperintense. Signal intensities of T1-weighted images are hyperintense, hypointense, isointense. Lack of or thin enhancement pattern of the cyst wall were seen in these cases. 69 cases were operated transsphenoidal approach, and 2 cases transcranial approach. 1 case recurred two months after operation. Conclusion： It is difficult to diagnose before operation, but endocrine and imaging exam could be helpful. Transsphenoidal operation is the best solution for the symptomatic Rathke cleft cysts, with good therapeutic effect and low recurrence.
出处
《脑与神经疾病杂志》
2007年第5期336-337,364,共3页
Journal of Brain and Nervous Diseases
