颅内结核瘤的诊断及外科治疗  

Diagnosis and treatment of brain tuberculoma

作　　者：陶胜忠[1] 尹先印[1] 张鹏远[1] 牛光明[1] 宋乐[1] 

机构地区：[1]郑州大学第二附属医院,郑州450014

出　　处：《中国实用神经疾病杂志》2012年第15期12-14,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅内结核瘤的临床特点、诊断及治疗效果。方法回顾分析2001-01-2011-06我院收治的17例颅内结核瘤的临床表现、影像学表现、实验室检查及治疗。结果临床表现结合CT/MRI及实验室检查,17例患者中12例(70.6%)得以明确诊断,手术切除病灶11例,其中5例(29.4%)术前误诊为脑肿瘤或脑脓肿,所有患者均行规律抗结核治疗,无死亡病例,随访无复发。结论颅内结核瘤的诊断应根据临床表现、影像学特点、实验室检查和抗结核疗效进行综合分析。手术结合抗痨药物治疗效果良好。Objective To investigate the clinical features, diagnosis and therapeutic effect of brain tuberculoma. Methods This retrospective study consisted of 17 adults consecutively identified with brain tuberculomas from Jan 2001 and Jun 2011. Clinical manifestations, imaging data, laboratory test, and surgical outcomes were analyzed. Results Of the 17 cases, 12 cases had a diagnosis by clinical manifestations, CT, MRI and laboratory test, 11 cases were totally removed, 5 cases were misdiagnosed as intracranial tumors or abscess before surgery treatment. All the patients were regularly treated with anti-tuber- culosis drugs. None of them relapsed during follow-up. Conclusion The majority of intracraniat tuberculoma can be diagnosed by clinical manifestations, imaging data and laboratory test. Combined surgical resection, anti-tuberculosis drugs is mostly effective.

关 键 词：脑结核瘤 临床特点 抗痨药物 

分 类 号：R739.41[医药卫生—肿瘤]