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目的探讨小儿颅内蛛网膜囊肿的手术方法及其疗效。方法 2011年1月至2014年7月手术治疗12岁以下颅内蛛网膜囊肿26例,其中行囊肿造瘘术(造瘘术组)17例(内镜下囊肿造瘘术14例,显微镜下囊肿造瘘术3例),囊肿-腹腔分流术(分流术组)9例。术后随访2~18个月。结果造瘘术组与分流术组手术的有效率分别为88.2%和77.7%,近期并发症发生率分别为23.5%和22.2%,均无统计学差异(P>0.05);远期并发症发生率分别为0和33.3%,有统计学差异(P<0.05)。结论两种手术均能改善颅内蛛网膜囊肿患儿症状,分流术远期并发症发生率明显高于造瘘术。
Objective To investigate the surgical treatment of children intracranial arachnoid cyst and its curative effect. Methods From January 2011 to July 2014, 26 cases of intracranial arachnoid cysts under the age of 12 were surgically treated. Among them, 17 cases underwent cystostomy (fistula group) (14 cases underwent endoscopic cystostomy under a microscope Cystostomy in 3 cases), cyst - peritoneal shunt (shunt group) in 9 cases. The patients were followed up for 2 to 18 months. Results The operative efficacies of ostomy group and shunt group were 88.2% and 77.7%, respectively. The incidences of recent complications were 23.5% and 22.2% respectively, with no significant difference (P> 0.05). Long-term complications Rates were 0 and 33.3%, respectively, with statistical significance (P <0.05). Conclusion Both of the two operations can improve the symptoms of children with intracranial arachnoid cyst. The incidence of long-term complications of shunt is significantly higher than that of ostomy.