脑室型脑囊虫病17例临床分析

Clinical Analysis of 17 Cases of Cerebral Ventricle Cysticercosis

目的:探讨脑室型脑囊虫病的诊断及外科手术治疗。方法:对我院2005年9月至2010年6月收治的17例脑室型脑囊虫病患者进行回顾性分析,其中4例行侧脑室脑囊虫摘除术,9例行第四脑室脑囊虫摘除术,2例行侧脑室脑室镜脑囊虫取出术,2例第三脑室囊虫行药物驱虫保守治疗,术后进行脱水和抗囊虫治疗。结果:15例患者手术治疗均获成功,所有患者术后颅内高压症状均缓解,随访3个月～24个月未发现新的神经损害症状。2例无颅内高压患者行药物驱囊虫保守治疗,症状得到改善。结论:MRI对脑室型脑囊虫病的诊断和治疗均具有重要的指导意义,外科手术治疗是脑室型脑囊虫病治疗的重要手段。

Objective： To investigate the diagnosis and surgical treatment of cerebral ventricle cysticercosis. Methods： A retrospective analysis of 17 patients who were hospitalized in our department from September 2005 to June 2010 with cerebral ventricle cystieercosis was performed. Four cases were lateral ventricles cysticercosis and 9 cases were fourth ventricle cysticercosis, all 13 cases were resected by surgery. Two cases of lateral ventricles cysticercosis were treated with ventriculoscope. All 15 patients above were treated by dehydration and antiparasitic measures postoperatively. Other 2 cases were third ventricles cysticercosis and they were treated with conservative antiparasitic measure. Results： All 15 patients treated with operation were successfully performed, whose symptoms of intracranial hypertension were immediately relieved after operative procedures. There were no nervous lesion newly found for 3-24 months postoperative follow-up. The conditions of two patients with no symptoms of intracranial hypertension were much improved with conservative antiparasitic measures. Conclusion： MRI is valuable in diagnosis and treatment of cerebral ventricle cysticercosis. Surgical method is important for the treatment of cerebral ventricle cysticercosis.