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

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。

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. Resuits： 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.