分流手术治疗新型隐球菌性脑膜炎的体会与文献回顾  

Treatment of cryptococcal meningitis by use of shunting and review in literature

作　　者：赵杰[1] 刘景平[1] 张治平[1] 李建[1] 肖格磊[1] 廖新斌[1] 金晨[1] 刘瑛[2] 

机构地区：[1]中南大学湘雅医院神经外科,长沙410008 [2]中南大学湘雅医学院病理生理学系,长沙410078

出　　处：《中南大学学报（医学版）》2016年第5期541-547,共7页Journal of Central South University ：Medical Science

摘　　要：目的:探讨分流手术在新型隐球菌脑膜炎患者治疗中的时机并评价其疗效。方法:回顾性分析7例采取分流手术治疗新型隐球菌脑膜炎患者的经过。结果:7例患者颅内压得到了有效的控制,相关症状明显缓解。住院及随访期间未出现与分流手术相关的并发症,未发生因分流手术造成的隐球菌播散及难治性隐球菌感染,也未发生因此导致的感染复燃。结论:分流手术可以有效缓解新型隐球菌脑膜炎所致的颅内压增高,且不对抗隐球菌的治疗产生不良影响。Objective：To evaluate the time and effect of shunt operation on cryptococcal meningitis.Methods：A total 7 patients received shunt operation for the therapy of cryptococcal meningitis patients and the data was retrospectively analyzed.Results：Intracranial hypertension-caused symptoms were resolved immediately.There was no complication,no infection dissemination and no recrudescence of cryptococcal meningitis.Conclusion：Shunt operation is effective for intracranial hypertension caused by cryptococcal meningitis.It does not affect the antifungal treatment.

关 键 词：分流手术 新型隐球菌脑膜炎 颅高压 脑积水 

分 类 号：R651.1[医药卫生—外科学]