J4 ›› 2011, Vol. 10 ›› Issue (6): 39-41.

• 临床医学 • 上一篇    下一篇

脑室型脑囊虫病17例临床分析

目的:探讨脑室型脑囊虫病的诊断及外科手术治疗。方法:对我院2005年9月至2010年6月收治的l7例脑室型脑囊
虫病患者进行回顾性分析,其中4例行侧脑室脑囊虫摘除术,9例行第四脑室脑囊虫摘除术,2例行侧脑室脑室镜脑囊虫取出术,2例第三脑室囊虫行药物驱虫保守治疗,术后进行脱水和抗囊虫治疗。结果:l5例患者手术治疗均获成功,所有患者术后颅内高压症状均缓解,随访3个月~24个月未发现新的神经损害症状。2例无颅内高压患者行药物驱囊虫保守治疗,症状得到改善。结论:MRI对脑室型脑囊虫病的诊断和治疗均具有重要的指导意义,外科手术治疗是脑室型脑囊虫病治疗的重要手段。   

  1. 大理学院大理教学医院,云南大理 671000
  • 出版日期:2011-06-01 发布日期:2011-06-01
  • 作者简介:段元周,主治医师,主要从事神经外科研究

Clinical Analysis of 17 Cases of Cerebral Ventricle Cysticercosis

  1. Dali Teaching Hospital of Dali University,Dali,Yunnan 67 1000,China
  • Online:2011-06-01 Published:2011-06-01

摘要:

目的:探讨脑室型脑囊虫病的诊断及外科手术治疗。方法:对我院2005年9月至2010年6月收治的l7例脑室型脑囊
虫病患者进行回顾性分析,其中4例行侧脑室脑囊虫摘除术,9例行第四脑室脑囊虫摘除术,2例行侧脑室脑室镜脑囊虫取出术,2例第三脑室囊虫行药物驱虫保守治疗,术后进行脱水和抗囊虫治疗。结果:l5例患者手术治疗均获成功,所有患者术后颅内高压症状均缓解,随访3个月~24个月未发现新的神经损害症状。2例无颅内高压患者行药物驱囊虫保守治疗,症状得到改善。结论:MRI对脑室型脑囊虫病的诊断和治疗均具有重要的指导意义,外科手术治疗是脑室型脑囊虫病治疗的重要手段。

关键词: 脑囊虫病, 脑室, 诊断, 手术

Abstract:

Objective:To investigate the diagnosis and surgical treatment of cerebral ventricle cysticercosis.Methods:A retrospective analysis of 17 patients who were hospitalized in our department from September 2005 to June 2010 with cerebral ventricle cystieercosis was performed.Four cases were lateral ventricles eysticercosis and 9 cases were fourth ventricle cysticercosis,all 1 3 cases were resected by surgery.Two cases of lateral ventricles cysticercosis were treated with ventriculoscope.All 1 5 patients above were treated by dehydration
and antiparasitic measures postoperatively.Other 2 eases were third ventricles cysticercosis and they were treated with conservative antiparasitic measure.Results:All 15 patients treated with operation were successfldly performed,whose symptoms of intracranial hypertension were immediately relieved after operative procedures.There were no nervous lesion newly found for 3-24 months postoperative follow—up.The
conditions of two patients with no symptoms of intracranial hypertension were much improved with consmwative antiparasitic measures.Conclusion:MRI is valuable in diagnosis and treatment of cerebral ventricle cysticercosis.Surgical method is important for the treatment of cerebral venlricle cysticercosis.

Key words: neurocysficercosis, cerebral ventricles, diagnosis, surgery

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