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	先天性蝶窦脑膜脑膨出的诊断与治疗(附4例报告)
	刘海生 ; 孙永东 ; 张秋航 ; 杨占泉 ; 陈国强 ; LIU Haisheng ; SUN Yongdong ; ZHANG Qiuhang
	2010-06-09 ; 2010-06-09
关键词	脑膜膨出 蝶窦 手术 内镜 meningocele sphenoid sinus surgery endoscopes R651
其他题名	Diagnosis and treatment of congenital sphenoidal meningocele: report of 4 cases
中文摘要	目的探讨蝶窦脑膜脑膨出的诊断与治疗。方法回顾性研究4例蝶窦脑膜脑膨出病人的临床资料。表现为视力下降合并生长迟缓、多饮、多尿1例,视野缺损1例,脑脊液鼻漏1例,轻微头痛1例。采用内镜经鼻小柱-鼻中隔-蝶窦手术1例,经鼻-蝶窦手术1例,随访2例。结果手术病人分别随访6、30个月,临床症状均好转,脑脊液鼻漏无复发;未手术病人分别门诊随访16、20个月,症状无变化。结论对合并脑脊液鼻漏及明显视力下降、内分泌障碍的蝶窦脑膜脑膨出病人,可考虑手术治疗;内镜经鼻手术是首选外科治疗方法。无明显症状者可不予手术治疗。; Objective To explore the diagnosis and treatment of transsphenoidal meningocele. Methods The clinical data of 4 patients with transsphenoidal meningocele were analyzed retrospectively. The clinical symptoms and signs included visual decrease with growth retardation, polydipsia and diuresis in 1 patient, visual field defect in 1, cerebrospinal leakage in 1, and mild headache in 1. One patient received operation via nasal columella-nasal septum-sphenoidal approach and 1 via endonasal transsphenoidal approach by endoscope for meningocele repair, and the other 2 patients who had no surgery were closely followed-up. Results Follow-up at 6 and 30 months, improvement of clinical symptoms and no relapse of cerebrospinal leakage were found in 2 patients who underwent surgery, but the other 2 patients without surgery remain unchanged during follow-up of 16 and 20 months. Conclusions The patient with sphenoidal meningocele complicated by cerebrospinal fluid leakage, visual decrease and endocrine disorder can be treated by surgery, while the asymptomatic patient can be followed with no surgery. Endoscopic endonasal surgery is the first choice.
语种	中文 ; 中文
内容类型	期刊论文
源URL	[http://hdl.handle.net/123456789/58645]
专题	清华大学
推荐引用方式 GB/T 7714	刘海生,孙永东,张秋航,等. 先天性蝶窦脑膜脑膨出的诊断与治疗(附4例报告)[J],2010, 2010.
APA	刘海生.,孙永东.,张秋航.,杨占泉.,陈国强.,...&ZHANG Qiuhang.(2010).先天性蝶窦脑膜脑膨出的诊断与治疗(附4例报告)..
MLA	刘海生,et al."先天性蝶窦脑膜脑膨出的诊断与治疗(附4例报告)".(2010).

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