HJS  >> Vol. 5 No. 3 (July 2016)

    Diagnosis and Neuroendoscope Treatment for Rathke’s Cleft Cyst

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吴永刚,张 诚,黄啸元,杨小朋:新疆维吾尔自治区人民医院神经外科,新疆 乌鲁木齐

Rathke囊肿神经内镜经蝶入路Rathke’s Cleft Cysts Neuroendoscopes Endonasal Transsphenoidal Approach



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.

吴永刚, 张诚, 黄啸元, 杨小朋. Rathke囊肿的诊断及神经内镜手术治疗[J]. 外科, 2016, 5(3): 65-70. http://dx.doi.org/10.12677/HJS.2016.53011


[1] Voelker, J.L., Campbell, R.L., Muller, J., et al. (1991) Clinical, Radiographic, and Pathological Features of Symptomatic Rathke’s Cleft Cysts. Journal of Neurosurgery, 74, 535-544. http://dx.doi.org/10.3171/jns.1991.74.4.0535
[2] Kasperbauer, J.L., Orvidas, L.J., Atkinson, J.L., et al. (2002) Rathke Cleft Cyst: Diagnostic and Therapeutic Considerations. Laryngoscope, 112, 1836-1839. http://dx.doi.org/10.1097/00005537-200210000-00024
[3] Nakasu, Y., Nakasu, S., Nakajima, M., et al. (1999) Atypical Rathkecleft Cyst Associated with Ossification. American Journal of Neuroradiology, 20, 1287-1289.
[4] Voelker, J.L., Camplell, R.L. and Muller, J. (1991) Clinical Radio Graphic, and Pathological Features of Symptomatic Rathke’s Cleft Cysts. Journal of Neurosurgery, 74, 535-544. http://dx.doi.org/10.3171/jns.1991.74.4.0535
[5] 于同刚, 戴嘉中, 冯晓源. Rathke囊肿的CT和MRI诊断[J]. 中国医学影像学杂志, 2004, 12(4): 253-255.
[6] Kapoor, V., Johnson, D.R., Fukui, M.B., et al. (2002) Neuroradiologic-Pathologic Correlation in a Neurenteric Cyst of the Clivus. AJNR, 23, 476.
[7] Byun, W.M., Kim, O.L. and Kim, D. (2000) MR Imaging Findings of Rathke’s Cleft Cysts: Significance of Intracystic Nodules. AJNR, 21, 485.
[8] 李强, 黄纯海, 陈委, 等. 鞍区Rathke囊肿的诊断及显微手术治疗[J]. 中国临床神经外科杂志, 2008, 13(4): 193- 195.
[9] Hayashi, Y., Tachibana, O., Muramatsu, N., et al. (1999) Rathke Cleft Cyst: MR and Biomedical Analysis of Cyst Content. Journal of Computer Assisted Tomography, 23, 34-38. http://dx.doi.org/10.1097/00004728-199901000-00008
[10] 陆新宇, 史继新, 等. 鞍区Rathke囊肿的诊断及手术治疗(附13例分析) [J]. 中国微侵袭神经外科杂志, 2007, 12(1): 37-38.
[11] Zielinski, G., Podgorski, J.K., Wilk, A., et al. (2005) Surgical Treatment for Rathke Cleft Cysts. Przegla̧d Lekarski, 62, 779-784.
[12] Lasio, G., Ferroli, P., Felisati, G., et al. (2002) Image-Guided Endoscopic Transnasal Removal of Recurrent Pituitary Adenomas. Neurosurgery, 51, 132-137. http://dx.doi.org/10.1097/00006123-200207000-00020
[13] Kawamata, T., Iseki, H., Shibasaki, T., et al. (2002) Endoscopic Augmented Reality Navigation System for Endonasal Transsphe-Noidal Surgery to Treat Pituitary Tumors: Technical Note. Neurosurgery, 50, 1393-1397.
[14] de Divitiis, E., Cappabianca, P. and Cavallo, L.M. (2002) Endoscopic Transsphenoidal Approach: Adaptability of the Procedure to Different Sellar Lesions. Neurosurgery, 51, 699-707.
[15] Cappabianca, P., Cavallo, L.M., Mariniello, G., et al. (2001) Easy Sellar Reconstruction in Endoscopic Endonasal Transsphenoidal Surgery with Polyester-Silicone Dural Substitute and Fibringlue: Technical Note. Neurosurgery, 49, 473-476.
[16] Benveniste, R.J., King, W.A., Walsh, J., et al. (2004) Surgery of Rathke Cleft Cysts: Fechical Considerations and Outcomes. Journal of Neurosurgery, 101, 577-584. http://dx.doi.org/10.3171/jns.2004.101.4.0577