儿童侧脑室脉络丛囊肿6例手术治疗及临床剖析.docVIP

儿童侧脑室脉络丛囊肿6例手术治疗及临床剖析 　　[摘要] 目的：探讨儿童侧脑室脉络丛囊肿的发病机制、临床表现和治疗手段。方法：回顾性分析我科收治的6例儿童侧脑室脉络丛囊肿临床资料。结果：本组6例，年龄5个月~7岁，病程1个月~5年，均经手术和病理证实。6例均采用开颅显微下手术切除囊壁，同时建立侧脑室交通方法，疗效好，术后随访满意。结论：侧脑室脉络丛囊肿属良性先天性神经上皮性囊肿，临床少见，诊断主要根据临床表现、影像学和病理学检查。脉络丛囊肿在成人如无明显症状可随访观察，但对于儿童，主张一旦发现其具有占位效应或明显增大应尽快手术治疗，以防阻碍脑及其功能的发育。 　　[关键词] 儿童；脉络丛囊肿；神经上皮囊肿；脑室；脑积水；癫痫；单侧发育障碍 　　[中图分类号] R651 [文献标识码] B [文章编号] 1673-7210（2011）06（c）-180-03 　　 　　Surgery and clinical analysis of 6 children with lateral ventricle choroid plexus cysts 　　LIAO Yuzhi, ZHANG Baozhong, YU Yong, LI Shan, DU Jun, WANG Zhichao 　　Department of Neurosurgery, Chinese Peoples Liberation Army Second Artillery General Hospital, Beijing 100088, China 　　[Abstract] Objective: To investigate the pathogenesis, clinical manifestations and treatment principles of lateral ventricle choroid plexus cysts in children. Methods: Retrospective analysis of the clinical data of 6 children with lateral ventricle choroid plexus cysts who were admitted to our department. Results: 6 patients were confirmed by surgery and pathology, aged between 5 months and 7 years old, whose course of disease were between 1 month and 5 years. In the 6 cases, the authors resected the cystic wall by craniotomy under the microscope, while establishing bilateral ventricle traffic. There was good efficacy and postoperative follow-up satisfaction. Conclusion: Lateral ventricle choroid plexus cyst is a kind of benign congenital neuroepithelial cyst and it’s rare. The diagnosis is primarily based on clinical manifestations, imaging and pathology. Choroid plexus cyst in adults without obvious symptoms can be followed up. But for children, once it is found having mass effect or significantly enlarging, the surgical treatment should be operated as soon as possible to avoid impeding the development of brain and its functions. 　　[Key words] Children; Choroid plexus cystic; Neuroepithelial cyst; Encephalocoele; Hydrocephalus; Epilepsy; Unilateral developmental disorders 　　 　　脉络丛囊肿常在胚胎早期发生，可在孕中期超声