囊泡型脑囊虫病的诊断与治疗分析  

THE CLINICAL ANALYSIS OF DIAGNOSIS AND TREATMENT FOR THE CYSTIC FORM OF NEUROCYSTICERCOSIS

作　　者：李国放[1] 宋军[1] 宋家仁[1] 

机构地区：[1]宁夏医学院附属医院神经外科,宁夏银川750004

出　　处：《中国寄生虫病防治杂志》2003年第2期81-83,共3页Chinese Journal of Parasitic Disease Control

摘　　要：目的　探讨囊泡型脑囊虫病的诊断和最佳治疗方法。　方法　收集所确诊的 2 0 5例脑囊虫病中 17例囊泡型囊虫病病人的资料 ,采用回顾性研究方法 ,分析其影像学检查、诊断和治疗方法的成功与失误。　结果　 13例行全切或部分切除 ,其中 1例死亡 ,其余取得较好疗效。 4例行肠虫清抗囊治疗 ,3例取得较好效果 ,1例未能随访。　结论　囊泡型囊虫绝大部分为多发 ,主要症状是囊泡的占位效应。应与脑包虫、蛛网膜囊肿等鉴别。可以应用常规开颅或神经内镜技术摘除主要的囊泡 ,缓解颅内高压。药物治疗是根本的方法。药物治疗脑实质内的囊虫囊泡效果好于脑池内的囊虫囊泡。Objective To study the clinical characteristics and optimum methods of treatment in the cystic form of cysticercosis. Methods Retrospective study has been done about neuroimaging findings, diagnosis and therapeutic methods in 17 cystic forms that were found in 205 patients with neurocysticercosis confirmed by diagnostic standard. The success and fault in clinical practice were analyzed. Results 13 cases were excised by total or subtotal removal with excellent result in 12 and death one. 3 of 4 patients who underwent anticysticercal therapy achieved satisfied effectiveness. Conclusion The CT and MRI imaging findings in patients with the cystic form of cysticercosis are multiple gaint cyst with enhanced wall and main symptoms and signs are those caused by space occupying effect of gaint cyst. In our opinion, the essential treatment of the cystic form of neurocystisercosis is pharmacological therapy. Complete or partial resection of giant cysts via routine craniotomy or neuroendoscopy is good for patients with increased ICP. The medical thread therapy is more effective in most cases of intraparenchymal form than cisternal form.

关 键 词：脑囊虫病 囊泡型 诊断 治疗 分析 

分 类 号：R383.34[医药卫生—医学寄生虫学]