中枢神经系统棘球蚴病（包虫病）的诊断与外科治疗专家共识

Expert consensus on the diagnosis and surgical treatment of central nervous system echinococcosis

包虫病是人感染棘球绦虫的幼虫（棘球蚴）所致的寄生虫病。两种类型的包虫病即囊型和泡型包虫病．是人类感染包虫病的主要类型，呈世界性分布，在我国新疆、西藏、青海等地多发。包虫病常累及肝、肺、脑、骨等组织器官，其中神经系统包虫病约占总病例数的2％～3％。神经系统包虫病主要症状是颅内高压症、头痛、癫痫以及神经功能障碍，虽属良性病范畴，若不能早期正确的诊断和治疗，可有明显的致残性。目前治疗方法主要包括药物和手术治疗。对中枢神经系统包虫病而言，药物治疗效果不理想，而手术治疗是主要治疗方法。

Human echinococcosis is a parasitic disease caused by tapeworms of the genus Echinococcus. The most important forms of the disease in human are cystic echinococcosis Oaydatidosis） and alveolar echinococcosis. Being a world-wide disease, it is endemic in the provinces such as Xinjiang, Tibet and Qinghai etc in China. It mostly involves organs such as liver, lung, bones and brain. Approximately 2% - 3% of echinococcosis cases have central nervous system （CNS） involvement and its main symptoms include symptoms of increased intracranial pressure, headache, epilepsy and neurological deficits. Although being a benign disease, it causes significant morbidity if not correctly diagnosed and treated at early stage. Main treatment methods of echinococcosis may include drug therapy and surgical treatment. The efficacy of drug therapy is not ideal in echinococcosis with CNS involvement, while surgery is the main treatment option.