The clinical analysis of 62 cases of Rathke's cleft cysts treated by microsurgical transsphenoidal surgery
10.3760/cma.j.issn.1001-2036.2016.04.011
- VernacularTitle:经鼻蝶显微手术切除Rathke囊肿62例临床分析
- Author:
Haibin LI
;
Zhigang MAO
;
Dongsheng HE
- Publication Type:Journal Article
- Keywords:
Pituitary;
Rathke's cleft cyst;
Microsurgery operation
- From:
Chinese Journal of Microsurgery
2016;39(4):351-353
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the preoperative diagnosis and the effect of microsurgical transsphenoidal surgery of pituitary Rathke's cleft cysts.Methods Retrospective analysis was performed from January,2011 to May,2015 on 62 cases of Rathke's cleft cyst which confirmed by surgery and pathology at the First Affiliated Hospital of Sun Yat-sen University.Sixty-two cases were performed by the surgery of transsphenoidal approach.Results There were 50 cases with a correct preoperative diagnosis of and consider Rathke's cleft cyst,12 cases of misdiagnosis.Postoperative follow-up was performed within 6-12 months,and the patient's clinical symptons were improved in different degrees,1 case of recurrence,no deaths and serious complications.Conclusion The diagnosis of Rathke's cleft cyst need for comprehensive considerations from many aspects,and the improvement of diagnosis rate base on the clinical features,endocrine examination,and imaging data.The microsurgical transsphenoidal surgery is safe and effective treatment for Rathke's cleft cyst.
