Selection of surgical methods for different sites of symptomatic Rathke's cleft cyst and clinical efficacies of these patients
10.3760/cma.j.cn115354-20200901-00699
- VernacularTitle:不同部位症状性Rathke's囊肿的手术方式选择及疗效分析
- Author:
Xinqing DENG
1
;
Zhongsheng BI
;
Zhenghao FU
;
Junbin CAI
;
Jiankan LU
;
Deliu LIN
;
Youming GU
;
Xingke LI
;
Mi GUO
;
Guili FENG
Author Information
1. 广东三九脑科医院神经外科，广州 510510
- Keywords:
Rathke's cleft cyst;
Neuroendoscopy;
Pterion approach
- From:
Chinese Journal of Neuromedicine
2021;20(4):384-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the selection of surgical methods for different sites of symptomatic Rathke's cleft cyst (RCC) and the clinical efficacies of these patients.Methods:Forty-seven patients with symptomatic RCC, admitted to our hospital from January 2016 to December 2019, were chosen in our study; 21 patients with intrasellar symptomatic RCC accepted surgery via unilateral nasal approach at the right side, 19 patients with intra-suprasellar symptomatic RCC accepted surgery via bilateral nasal approach, 3 patients with suprasellar symptomatic RCC accepted endonasal transsphenoidal surgery under endoscope, and 4 patients with suprasellar symptomatic RCC accepted craniotomy via pterion approach. The clinical efficacies and complications of patients accepted different surgical methods were compared. All patients were followed up for 3-36 months to observe the recurrence.Results:The postoperative symptoms of the patients were effectively improved, including headache relief ratio of 27/31, vision loss improvement ratio of 5/5, high prolactin relief ratio of 11/13, pituitary function improvement ratio of 9/18. Complications occurred in 6 patients, presenting as diabetes insipidus. Four patients recurred during follow-up.Conclusion:Intrasellar and intra-suprasellar symptomatic RCC accepted surgery via endoscopic transnasal transsphenoidal approach are safe and effective; selection of surgical methods for suprasellar symptomatic RCC should be determined according to the sizes and growth directions of cysts.
