椎管内猪囊尾蚴病的临床分析及文献回顾

Clinical analysis of intraspinal cysticercosis cellulosae:report of four cases and review of the literatures

目的提高对椎管内脊髓型猪囊尾蚴病的临床诊断治疗的认识,减少误诊误治。方法报道4例我院椎管内脊髓型猪囊尾蚴病的诊断治疗,结合国内外文献报道的临床资料进行分析。结果椎管内脊髓型猪囊尾蚴病发生率低,临床上容易误诊误治,行椎管内探查及囊尾蚴囊肿摘除术,术后送病理证实为猪囊尾蚴感染。术后症状明显缓解,合并抗囊尾蚴药物治疗,以求同时治疗其他部位残留的猪囊尾蚴病。结论椎管内脊髓型猪囊尾蚴病发生率低,临床上容易误诊误治,且以常见病难以解释时,要注意询问患者的流行病学史,减少误诊误治。

Aim To describe the clinical features of intraspinal cysticercosis cellulosae cases.Methods The clinical features of four intraspinal cysticercosis cellulosae cases were analyzed and relevant literatures reviewed.Results Intraspinal involvement by cysticercosis was reported rarely.The diagnosis depended on the history of living in endemic areas with typical MRI scan findings and a compatible clinical picture.Surgery revealed a cystic mass containing a cysticercus.Albendazole currently was effectve for treatment of intraspinal cysticercosis cellulosae.Conclusion The Dignosis and treatment of intraspinal cysticercosis cellulosae should be considered comprehensively carefully such as history in endemic area and clinical symptoms including a spinal mass lesion.