Endoscopic endonasal transsphenoidal surgery for sympatomatic Rathke's cleft cysts: a clinical analysis of 24 cases
10.3760/cma.j.issn.1671-8925.2015.10.014
- VernacularTitle:内镜经蝶手术治疗症状性Rathke's囊肿24例临床分析
- Author:
Bin HUANG
1
;
Hao WU
;
Tingrong ZHANG
;
Quancai LI
;
Yunfa GUO
;
Kun LUO
Author Information
1. 830054乌鲁木齐,新疆医科大学第一附属医院神经外科,新疆神经外科研究所
- Keywords:
Rathke's cleft cyst;
Endoscopy;
Transsphenoidal surgery
- From:
Chinese Journal of Neuromedicine
2015;14(10):1042-1046
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the efficacy and safety of endoscopic endonasal transsphenoidal surgery for sympatomatic Rathke' s cleft cysts.Methods The clinical manifestations, imaging features, surgical methods, pathology features, postoperative complications, postoperative recurrence and outcomes of 24 patients with Rathke's cleft cysts, admitted to our hospital from January 2007 to December 2014, were reviewed retrospectively.Results Total resection was achieved in 0 patient and subtotal resection was achieved in 24 patients.In the 16 patients with headache, 4 got relief and 12 achieved cure.In the 9 patients with hypopsia, 3 recovered to normal, 5 got improvement and one enjoyed no obvious changes.In the 21 patients with endocrine function disorder, 2 recovered to normal, 2 got improvement and one had transient diabetes insipidus.One patient appeared transient diabetes insipidus.Nine patients had transient decreased thyroid hormones, and those patients with progesterone, follicle stimulating hormone, luteinizing hormone, growth hormone and prolactin disorders recovered to normal;one patient got postoperative recurrence and accepted surgery for the second time.Conclusion Endoscopic endonasal transsphenoidal surgery is a rational choice for sympatomatic Rathke' s cleft cysts, which can effectively perform the cyst drainage and resection of the capsule wall, enjoying small trauma, safety and low postoperative recurrence rate.
