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目的 分析和探讨鞍区Rathke s囊肿的诊断和治疗。方法 2 5例经手术和病理证实为鞍区Rathke s囊肿 ,其中男性 11例 ,女性 14例。平均年龄 40 1岁。平均病程 35 3月。采用经鼻 蝶入路显微手术清除囊内容物 ,囊壁部分切除 ,开放囊腔。结果 随访半年至 6年 ,92 %的头痛症状及视功能障碍得到缓解 ,86 %的垂体功能低下得以改善或消失 ,其中 5例闭经泌乳患者 4例恢复正常。结论 鞍区Rathke s囊肿术前易与垂体腺瘤、囊性颅咽管瘤混淆 ,较难作出正确诊断。高分辨率MRI检查有助于鉴别。经鼻 蝶窦显微外科手术是治疗本病的有效方法
Objective To analyze and discuss the diagnosis and treatment of Rathke s cysts in the sellar region. Methods Twenty-five cases of Rathke’s cysts were confirmed by surgery and pathology, including 11 males and 14 females. The average age is 40 1 years old. The average duration of 35 months. Transurethral microsurgery was used to remove the contents of the capsule. The wall of the capsule was partially resected and the cavity was opened. Results Six months to six years follow-up, 92% of headache symptoms and visual dysfunction were relieved, and 86% of hypopituitarism improved or disappeared. Among them, 4 cases of 5 cases of closed-loop lactation returned to normal. Conclusions The larynx Rathke s cyst is easily confused with pituitary adenoma and cystic craniopharyngioma before diagnosis. High-resolution MRI helps to identify. Transnasal sinus microsurgery is an effective method to treat this disease