立体定向微创手术治疗脑囊虫病35例临床分析

Clinical analysis of 35 cases of cerebral cysticercosis treated by stereotactic minimally invasive surgery

目的探讨立体定向微创手术治疗脑囊虫病的临床疗效。方法选取2015年1月至2017年12月航空工业三六三医院收治的脑囊虫病患者35例,均采用立体定向微创手术治疗,对其临床资料进行回顾性分析,探讨手术治疗的效果及预后情况,包括临床症状改善情况、复发率、住院时间等,并对治疗经验进行总结。结果35例患者采用立体定向微创手术治疗后脑囊虫病灶均全部移除;术后患者临床症状消失,平均住院时间(17.35±2.89)d。术后2~3个月复查,未产生新的神经损害;随访10~18个月,均未出现复发。结论立体定向微创手术治疗脑囊虫病安全简便,创伤小,效果良好,可临床推广应用。

Objective To investigate the clinical efficacy of stereotactic minimally invasive surgery on neurocysticercosis(NCC).Method Thirty-five patients with NCC admitted to 363 Hospital of aviation industry hospital from January 2015 to December 2017 were treated with stereotactic minimally invasive surgery.Analyze its clinical data.And to explore the effect and prognosis of surgical treatment of NCC patients,including clinical symptoms improvement,recurrence rate,hospitalization time,etc.,and analyze and summarize the treatment experience.Result After the stereotactic minimally invasive surgery,all the cerebral cysticercosis lesions were removed,and the clinical symptoms of the patients disappeared,and the average hospitalization time was(17.35±2.89)days.After 2-3 months of follow-up,no new nerve damage was produced.After 10 to 18 months of follow-up observation,there was no recurrence.Conclusion Stereotactic minimally invasive surgery for cerebral cysticercosis is safe,simple,minimally invasive and effective,which can be widely used in clinic.