脑囊虫病手术治疗对策探讨(附6例病例)  

Diagnosis and therapy of cerebral cysticercosis with 6 case reports attached

作　　者：温玉星[1] 郑诗豪[1] 黄绍崧[1] 林伟[1] 

机构地区：[1]福建省立医院神经外科,福州350001

出　　处：《中国人兽共患病学报》2017年第10期943-945,共3页Chinese Journal of Zoonoses

摘　　要：目的根据脑囊虫病的特征,探讨手术治疗对策。方法对神经外科收治的6例脑囊虫病患者,根据不同病情特征,应用不同手术对策治疗,观察术后疗效。结果 6例患者经不同手术治疗1年后随访观察,除1例因脑积水需再次行脑室-腹腔分流术外。其余患者均获手术成功,且恢复情况良好,一直未出现新的神经损害症状。结论 6例患者,根据不同病情特征,应用不同手术治疗对策,有效消除了脑囊虫病的并发症和致残,值得今后同行手术借鉴和参考。We explored the feature and therapeutic methods of cerebral cysticercosis.The effect of different surgical treatment was analyzed on 6 patients with cerebral cysticercosis who had undergone surgery at Fujian Provincial Hospital.Results showed that 2 of 6 cases underwent an excision of ventricle or cisternalcysticercus.Three cases were performed an excision of brain parenchyma cysticercus.The decompressivecraniectomy under bilateral temporalis was performed on 1 patient with cerebral cysticercosis.One case underwent ventriculo-peritoneal shunt because of hydrocephalus after a year of follow-up.The operations of 6 cases were all successfully performed.All patients recovered well after the operation.No newly neurobiological injuries were observed.Timely and accurate neurosurgery contributes to reduce the incidence of complications and cut down disability rate of cerebral cysticercosis,and buy time and fight for an opportunity for drug therapy of cerebral cysticercosis as well.It significantly improves the safety and therapeutic effect of anti-cysticercosis drugs.

关 键 词：脑囊虫病 诊断 治疗 

分 类 号：R383[医药卫生—医学寄生虫学]