儿童颞部症状性蛛网膜囊肿预后分析

目的探讨影响症状性颞部蛛网膜囊肿患儿的预后因素。方法回顾性分析2000年1月—2015年1月期间在青海省妇女儿童医院接受手术治疗的209例症状性颞部蛛网膜囊肿患儿的临床资料，从而为颞部蛛网膜患儿的诊疗和预后判断提供思路。结果165例（80.1%）囊肿体积明显减小（减小≥50%），其中囊肿体积减小≥50%的患儿症状改善率明显好于囊肿体积减小＜50%患儿。两种手术方式在症状改善以及囊肿体积变化方面均无显著性差异。患儿≤4岁与＞4岁组之间比较，前者患儿影像学预后明显好于后者，并且患儿年龄与影像改善存在负相关性，提示年龄是影响预后的因素之一。结论手术治疗症状性颞部蛛网膜囊肿患儿，年龄是影响预后因素之一，影像学改善与患儿的症状改善存在显著相关性；并且患儿年龄越小，影像学改善越明显。

Objective To investigate the prognostic factors in children with symptomatic temporal arachnoid cyst. Methods The clinical data of 209 children with symptomatic temporal arachnoid cyst who underwent surgery in Qinghai Women’s and Children’s Hospital from January 2000 to January 2015 were analyzed retrospectively, so as to provide ideas for the diagnosis, treatment, and prognosis of children with temporal arachnoid cyst. Results In 165 cases(80.1%), the cyst volume was significantly reduced(by≥50%), and the symptom improvement rate was considerably better in children with a cyst volume reduction of ≥50% than those with a reduction of <50%. The two surgical methods showed no significant difference in symptom improvement or cyst volume reduction. The imaging prognosis of the children ≤4 years old was significantly better than that of the those >4 years old, and there was a negative correlation between the age of the children and the image improvement, suggesting that age was one of the factors affecting the prognosis. Conclusions Age is one of the prognostic factors for children with symptomatic temporal arachnoid cyst treated surgically. There is a significant correlation between the improvement of imaging changes and the symptoms. And the younger the child is, the more obvious the imaging improvement is.