摘要
目的了解头颅ＣＴ检查对脑结核瘤的诊断价值和抗结核药物治疗效果。方法观察分析５５例经头颅ＣＴ诊断并经抗结核治疗６～８个月的脑结核瘤患者的头颅ＣＴ表现和临床特点。结果５５例中获愈４４例，其中４０例经ＣＴ复查头颅病灶全部吸收，另有１１例抗结核治疗未结束仍在随访中。脑结核瘤ＣＴ平扫常表现为低密度水肿区，缺乏特征性改变，增强扫描可在病灶周边出现盘状或小环状征象，阳性率高于其它实验室发现。脑结核瘤以儿童及青少年多见，农村患者居多。结论头颅ＣＴ增强扫描对脑结核瘤具有诊断价值。目前抗结核治疗效果甚佳，一般经１～２个月正规治疗临床症状即可完全缓解，治疗半年可获痊愈，极少数需要手术。
ObjectiveToevaluatethevalueofCTscanningandtheeficacyofanti-tuberculosisshort-coursechemotherapyinintracranialtuberculomapatients.MethodTheCTmanifestationsandtheclinicalcharacteristicsof55intracranialtuberculomapatientswereanalysed.Reslts44outof55patientswerecured.Amongthem,40patients'lesionswereentirelyresolved,whileother11cases,clinicalsymptomsweresubsidedandstilundertreat-ment.InthecontrastenhancingCTscanning,plateshapedorring-formshadowswereshownsurroundingthele-sionsoftuberculoma.Thecharacteristicalfeaturesweremorespecialfordiagnosisandthepositiveratewashigherthanthatofotherlaboratoryfindings.Theincidenceofintracranialtuberculomawasfoundtobehigherinchildrenandjuvenilepa-tientswholivedinruralareas.ConclusionsEnhancingCTscanningisvaluablefordiagnosisofin-tracranialtuberculoma.Theanti-tuberculosisshort-coursechemotherapyusednowadayswithwhichal-mostaltheintracranialtuberculomapatientscanbecuredandonlyfewofthemneedsurgicaloperation.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1996年第2期107-109,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
脑结核瘤
CT
诊断
治疗
TuberculomaTomography,X-raycomputed
