脑型血吸虫病的诊断与外科治疗

The Diagnosis and Surgical Treatment of Cerebral Schistosomiasis

目的 探讨脑型血吸虫病的诊断和治疗方法选择。方法 回顾性分析研究同济医院1992年 10月～ 2 0 0 3年 12月诊治 9例脑型血吸虫病的临床资料。结果 9例病人中 1例行保守治疗 ,8例行手术治疗 ,术后除 1例病人出现暂时性运动性失语外 ,其他均恢复良好 ,无严重手术并发症及手术死亡。结论 头颅CT和MRI检查对脑型血吸虫病诊断有重要价值 。

Objective To discuss the diagnosis and the surgical treatment for patients with cerebral schistosomiasis. Methods 9 cases with cerebral schistosomiasis were analyzed retrospectively. All the patients were treated on from October 1992 to December 2003 in our hospital. Results Among the all of 9 patients,conservative therapy was selected in 1 cases,the other 8 cases were treated surgically. All the patients received excellent postoperative recovery,except for 1 patient who developed temporary frontal aphasia. There was no operative mortality and severe postoperative complications. Conclusions CT and MRI is valuable in the diagnosis of cerebral schistosomiasis. Drug therapy is the common method to treat in the cerebral schistosomiasis. Surgical treatment should be considered when the patient suffered an increased intracranial pressure as well as drug therapy is effectiveless.