Rathke裂囊肿的诊断和治疗.pdf

2004 Feb, 25( 1) 12 Acad J PLA Postg ad Med Sch [ ] 2004) Rathke 魏少波, 周定标, 潘隆盛, 朱儒远 ( , 100853) [ ] : Rathke : 1993 2002 , 33 Rathke , 788% , 624% , 273% X 152% , CT 615% , MRIT 1 636% , 152% , 121% , 91% , 33 : 100% , 846% , 727% , 667% , 50% : Rathke ; , CT , MRIT 1 , , Rathke ; Rathke , ; , , [ ] ; Rathke ; [ ] R6511 [ ] A Diagnosis and treatment of Rathkes cleft cysts WEI Shaob0, ZHOUDingbiao, PanLongsheng, ZH URuyuan(Department of Neurosurgery, PL GeneralHos pital, Beij ing 100853, China) [Abstract] Objective:To aise the diagnos and t eatment level of Rathkes cleft cystsMethods:We et ospectively eviewed data collected on Rathkes cleft cysts between 1993 and 2002, 33 patients p esenting symptoms we e t eated by t anssphenoidal su ge y Be fo e the ope ation, headache was p esent in 788% , pituita y dysfunction in 624% and visual inte fe ence in 273% , enla gement of the sella tu cica on plain x ays in 152% CT showed high density lesion in 615% , and MRI showed high intensity on T 1weighted im ages lesion in 636% , isointensity in 152% , low intensity in 121% , and othe s in 91% and no enhancement in all of casesAll pa tients we e t eated by a t anssphenoidal su ge yResults: Postope ative visual distu bance imp oved in 100% of patients, headaches we e esolved in 846% , Ameno hea ecove ed o imp oved in 727% Conclusions: Results of the p esent study indicate: 1) The incidence of pituita y dysfunction in patients with Rathkes cleft cyst is highe than suspected2) When a nonenhancing cystlike st uctu e in the sella tu cica with C