146例脑结核瘤的临床特点 治疗及随访  

Clinical characteristics,treatment and follow up of 146 cases of intracranial tuberculoma.

作　　者：景学医[1] 张予华[1] 任纯明[1] 

机构地区：[1]河南省人民医院儿科

出　　处：《新医学》1998年第6期287-288,共2页Journal of New Medicine

摘　　要：目的：进一步了解脑结核瘤的临床特点及药物治疗的效果。方法：对１４６例脑结核瘤病人进行分析，其中对５例病人行手术切除，１４１例给予抗结核药物治疗。结果：脑结核瘤临床主要表现为癫发作。ＣＴ增强扫描后的盘状或环状高密度影为本病的特征性改变。手术治疗２例留有后遗症；药物治疗结束２年以上随访１０６例，仅１例偶发癫。结论：单纯药物治疗脑结核瘤疗效安全、可靠，值得大力推广。Objective:To evaluate the clinical characteristics and effectiveness of anti tuberculosis chemotherapy on intracranial tuberculoma.Methods:146 cases were analysed.5 cases were treated surgically,while other 141 were treated with anti tuberculosis drugs only.Results:Epilepsy was the main presenting manifastation in patients with intracranial tuberculoma.Plate shaped or ring shadows shown on enhanced CT were the characteristic changes. Sequelae were found in two cases after surgery.Epilepsy recurred in only one patient in two years after drug treatment.Conclusion:The chemotherapy of intracranial tuberculoma with anti tuberculosis only is safe and reliable and should be advocated.

关 键 词：脑结核瘤 临床特点 治疗 随访 

分 类 号：R529.3[医药卫生—内科学]