中枢神经系统炎性假瘤的诊治  

Diagnosis and management of intracranial inflammatory pseudotumors

作　　者：林香江 孟国路[1] 刘星[2] 赵继宗[1] 吴震[1] Lin Xiangjiang Meng Guolu Liu Xing Zhao Jizong Wu Zhen(Department ofNeurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China Department of General Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,100050 [2]重庆医科大学附属永川医院外科,402160

出　　处：《中国微侵袭神经外科杂志》2016年第11期506-509,共4页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨颅内炎性假瘤的病理特征、影像学表现、临床特点及最佳治疗方案。方法回顾性分析3例颅内炎性假瘤的临床资料,并复习相关文献。结果 1例病人经活检明确诊断后行激素治疗;2例病人接受手术治疗,其中病变全切后恢复良好1例,行大部分切除后出现重度呼吸困难等严重并发症1例,经治疗后好转。平均随访18个月,1例活检病例未行影像学复查,2年后死于冠心病;2例手术病人均恢复良好,随访期间内无复发。结论颅内炎性假瘤的治疗应根据病变位置及病人自身特点来优化治疗方案。Objective To in vestigate the clinical manifestations, optimum treatment, pathological and imaging features of intracranial inflammatory pseudotumors（IIPs）. Methods The relevant literatures were reviewed and the clinical data of 3 IIP patients were analyzed retrospectively. Results Hormone therapy was performed in 1 patient after biopsy diagnosis. The lesion was resected in 2 patients.Gross total resection and good recovery were achieved in 1 patient. Major resection and serious complications such as severe respiratory distress were achieved in 1 patient, who recovered after treatment. Mean follow-up time was 18 months. One patient who received biopsy but did not achieve imaging reexamination died of coronary heart disease 2 years later. Two surgical patients recovered well,without recurrence during the follow-up. Conclusion The treatment for IIPs should be taken based on the lesion＇s location and be individualized to optimize the therapeutic strategy.

关 键 词：炎性假瘤 中枢神经系统 诊断 治疗 

分 类 号：R739.4[医药卫生—肿瘤]