Rathke囊肿的诊断及神经内镜手术治疗

Diagnosis and Neuroendoscope Treatment for Rathke’s Cleft Cyst

摘要: 目的：提高Rathke囊肿的术前诊断率和总结神经内镜下切除Rathke囊肿的手术技术，并评价其疗效。方法：采用神经内镜经单鼻孔–蝶窦入路切除Rathke囊肿12例。结果：8例全切除、4例次全切除，症状均明显改善，无明显并发症发生，手术耗时较经鼻蝶窦入路显微镜下手术、开颅手术明显缩短。结论：神经内镜下经单鼻孔–蝶窦路径切除Rathke囊肿是一种有效的微侵袭手术方法。

Abstract: Objective: To improve the preoperative diagnostic rate of Rathke’s Cleft Cysts and summarize the surgical technique of neural endoscopic resection on Rathke’s Cleft Cysts, and evaluate its curative effect. Methods: All 12 Rathke’s cleft cysts cases were used the endoscopic endonasal transsphenoidal surgery. Results: 8 cases of total tumor resection were achieved, and 4 cases of subtotal tumor resection were obtained. Symptoms were obviously alleviated without apparently complications. The operation duration was obviously shorter than transsphenoidal microsurgical procedure and craniotomy. Conclusion: The endonasal transsphenoidal approach with the neuroendoscope can be an effective minimally invasive method for Rathke’s cleft cysts removal.