中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2009年
9期
835-837
,共3页
罗东辉%郭怀荣%张庭荣%罗坤
囉東輝%郭懷榮%張庭榮%囉坤
라동휘%곽부영%장정영%라곤
棘球蚴病%显微外科手术
棘毬蚴病%顯微外科手術
극구유병%현미외과수술
Echinococcosis%Microsurery
目的 探讨颅内包囊虫手术治疗的疗效和临床分型.方法 回顾分析102例颅内包囊虫患者,男56例,女46例,中位16.8岁.细粒棘球蚴采用注水漂浮法完整摘除,泡状棘球蚴行肿块完整切除术.结果 细粒棘球蚴患者中94例完整摘除,包括8例破溃后摘除,其中3例因过敏性休克死亡,5例采用阿苯哒唑脂质体治疗有效.泡状棘球蚴8例经手术全切,仅有1例长期生存,其余7例因并发肝脏泡状棘球蚴反复复发而死亡.结论 细粒棘球蚴和泡状棘球蚴只有完整摘除和切除,患者才可得治愈.手术中一定要操作仔细轻柔以免破溃导致过敏性休克并发感染死亡或包囊虫复发.
目的 探討顱內包囊蟲手術治療的療效和臨床分型.方法 迴顧分析102例顱內包囊蟲患者,男56例,女46例,中位16.8歲.細粒棘毬蚴採用註水漂浮法完整摘除,泡狀棘毬蚴行腫塊完整切除術.結果 細粒棘毬蚴患者中94例完整摘除,包括8例破潰後摘除,其中3例因過敏性休剋死亡,5例採用阿苯噠唑脂質體治療有效.泡狀棘毬蚴8例經手術全切,僅有1例長期生存,其餘7例因併髮肝髒泡狀棘毬蚴反複複髮而死亡.結論 細粒棘毬蚴和泡狀棘毬蚴隻有完整摘除和切除,患者纔可得治愈.手術中一定要操作仔細輕柔以免破潰導緻過敏性休剋併髮感染死亡或包囊蟲複髮.
목적 탐토로내포낭충수술치료적료효화림상분형.방법 회고분석102례로내포낭충환자,남56례,녀46례,중위16.8세.세립극구유채용주수표부법완정적제,포상극구유행종괴완정절제술.결과 세립극구유환자중94례완정적제,포괄8례파궤후적제,기중3례인과민성휴극사망,5례채용아분달서지질체치료유효.포상극구유8례경수술전절,부유1례장기생존,기여7례인병발간장포상극구유반복복발이사망.결론 세립극구유화포상극구유지유완정적제화절제,환자재가득치유.수술중일정요조작자세경유이면파궤도치과민성휴극병발감염사망혹포낭충복발.
Objective To discuss effect and clinical classification of 102 patients with cerebral hydatid cysts retrospectively. Method According to hallmark of clinical manifestation and imaging,hydatid cysts were divided into two types,one is echinococcosis granulosa,the other is echinococcsis multilocularies. Echinococcosis granulosa were totally resected by dowling method and echinococcsis muhilocularies were also totally ablated. Results Of 102 patients,94 patients were totally removed without cysts rupture,8 cases were totally with cysts rupture, and 3 cases were died of allergic shock with infection. Five cases relapsed and reoperated. Conclusions Despite any kinds, patients can be cured when the hydatid cysts were totally removed. But suegeons should avoid allergic shock by en block resection without cysts rupture.
