Clinical analysis of craniotorny and shunt surgery in treatment of intracranial arachoid cyst
Zhang Kaizhi
Fang Zhe
Gao Jian
Zhao Xingli
Abstract：Objective To compare the clinical efficacy between craniotomy and shunt surgery in the surgical treatment of intracranial arachoid cyst(IAC).Methods Totally 72 cases with IAC were collected from January 2000 to June 2013.The clinical data was analyzed retrospectively.According to the different methods of operation,patients were divided into craniotomy group (20 cases,resection of brain arachnoid cysts) and shunt group (52 cases,cyst peritoneal shunt).Operation time,intraoperative blood loss,hospitalization expenses,hospital stay,postoperative clinical symptoms improvement,complications and cyst recurrence were compared between craniotomy group and shunt group.Results Compared with craniotomy group,shunt group had shorter operation time[(2.20 ± 0.05)min vs (2.90 ± 0.29)min],less intraoperative blood loss [(104 ± 4)ml vs (158 ± 14)ml] ;the difference was significant (P ＜ 0.05).No significant difference was noted in hospital stay,postoperative clinical symptoms improvement,complications and cyst recurrence [(8.40 ± 0.18)d vs (8.50 ± 0.27)d,88.5％ (46/52) vs 90.0％ (18/20),15.4％ (8/52) vs 20.0％ (4/20),11.5 ％ (6/52) vs 10.0％ (2/20)] (all P ＞ 0.05).Conclusion The operation method should be selected comprehensively according to the location of cyst,the particularity of disease and the experience of the surgeon.
Keywords：Intracranial arachnoid cystSurgical treatmentSurgical method
Publication Date：2014-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1468-1470 )