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脑积水型脑囊虫病的外科手术治疗研究

Surgical treatment of brain cysticercosis patients with hydrocephalus

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【作者】 步星耀刘猛张建国柴昌周伟李玉郭锁成

【Author】 BU Xing-yao,LIU Meng,ZHANG Jian-guo,CHAI Chang,ZHOU Wei,LI Yv,GUO Suo-cheng (Department of Neurosurgery,Henan Provincial People’s Hospital,Zhengzhou,450003,China)

【机构】 河南省人民医院神经外科

【摘要】 目的:探讨脑积水型脑囊虫病的外科手术治疗方法及疗效。方法:经手术病理证实的脑积水型脑囊虫病73例,回顾分析其治疗过程。结果:对诊断明确的73例脑积水型脑囊虫病患者实施了脑室或脑池囊虫摘除术,术后进行抗脑囊虫病治疗,其中13例脑积水症状改善效果不佳,二次行脑室-腹腔分流术,手术均获成功,术后均未出现新的神经损害症状,脑室恢复正常。结论:脑积水型脑囊虫病一旦诊断明确,应积极手术切除脑囊虫,解除梗阻性脑积水术后再进行抗囊虫治疗,必要时再行脑室腹腔分流手术,临床效果明确安全。

【Abstract】 Objective: To investigate the surgical treatment effect of hydrocephalic neurocysticercosis;Methods: A retrospective analysis the diagnosis and surgical treatment process of 73 cases neurocysticercosis with hydrocephalus,confirmed by surgical operation and clinical pathology.Results: 73 cases neurocysticercosis is removed from cerebral ventricle and cistern by surgery,postoperative anti-brain cysticercosis treatment,13 cases of them symptom improvement effect is not good,made ventricles of the brain-abdominal cavity bypass,The surgery attains successfully,new symptoms of nervous lesion symptom did not happen after the surgery.cerebral ventricle return to normal.Conclusion: Hydrocephalus neurocysticercosis,once a clear diagnosis,surgical operation should be made actively,take out of neurocysticercosis,relief obstructive hydrocephalus and than drug treatment.If necessary,make the ventriculoperitoneal shunt.Clinical effects of the therapy is manifestation and security.

  • 【文献出处】 河南医学研究 ,Henan Medical Research , 编辑部邮箱 ,2009年03期
  • 【分类号】R651.11
  • 【被引频次】5
  • 【下载频次】78
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