摘要
回顾性分析手术治疗48例脑型血吸虫病患者的临床资料,对CT证实病灶较大、占位效应明显、有明显颅高压症状、药物治疗无效或不能完全排除胶质瘤的患者,采取手术治疗,病情稳定后按常规口服吡喹酮治疗。48例中,术后恢复良好35例,肢体瘫痪加重8例,肢体麻木加重5例,新出现癫痫发作2例,无手术死亡。提示手术结合药物治疗脑型血吸虫病可获良好疗效。
Clinical data from 48 cases with cerebral schistosomiasis, who received surgery, were analyzed retrospectively. Surgical treatment was performed when the patient had the following conditions： mass focus confirmed by CT scanning, cranial hypertension, or ineffective drug therapy, or indistinguishable from glioma by iconographic diagnosis. Treatment of praziquantel was given when the patients got improved. Among the 48 patients with surgical treatment, 35 cases recovered, 8 showed an exacerbation of hemiparalysis, 5 had hemianesthesia, and epilepsy occurred in 2 cases, no cases died during or after the operation. Surgery combined with praziquantel therapy has been an effective way for the treatment of cerebral schistosomiasis.
出处
《中国寄生虫学与寄生虫病杂志》
CAS
CSCD
北大核心
2008年第2期154-155,共2页
Chinese Journal of Parasitology and Parasitic Diseases
关键词
脑型血吸虫病
CT
MRI
手术
Cerebral schistosomiasis
CT scanning
MRI scanning
Surgical treatment
