中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
6期
15-16,17
,共3页
郑勇%成振林%董军%高峰
鄭勇%成振林%董軍%高峰
정용%성진림%동군%고봉
脑结核瘤%诊断%外科治疗
腦結覈瘤%診斷%外科治療
뇌결핵류%진단%외과치료
Brain tuberculoma%Diagnosis%Surgical treatment
目的：探讨脑结核瘤的诊断与治疗原则。方法：回顾性分析15例脑结核瘤患者的病例资料，分析其临床特点及手术治疗方式。结果：15例患者经术中病检均得以确诊，手术全切13例，部分切除2例，术后均予正规的抗结核药物治疗。术后随访3~24个月，1例患者发生脑积水而行脑室-腹腔分流术，其余患者痊愈。结论：正确认识脑结核瘤的临床特点可以降低对该病的误诊率，手术切除结合抗结核药物可以提高脑结核瘤的治愈率。
目的：探討腦結覈瘤的診斷與治療原則。方法：迴顧性分析15例腦結覈瘤患者的病例資料，分析其臨床特點及手術治療方式。結果：15例患者經術中病檢均得以確診，手術全切13例，部分切除2例，術後均予正規的抗結覈藥物治療。術後隨訪3~24箇月，1例患者髮生腦積水而行腦室-腹腔分流術，其餘患者痊愈。結論：正確認識腦結覈瘤的臨床特點可以降低對該病的誤診率，手術切除結閤抗結覈藥物可以提高腦結覈瘤的治愈率。
목적：탐토뇌결핵류적진단여치료원칙。방법：회고성분석15례뇌결핵류환자적병례자료，분석기림상특점급수술치료방식。결과：15례환자경술중병검균득이학진，수술전절13례，부분절제2례，술후균여정규적항결핵약물치료。술후수방3~24개월，1례환자발생뇌적수이행뇌실-복강분류술，기여환자전유。결론：정학인식뇌결핵류적림상특점가이강저대해병적오진솔，수술절제결합항결핵약물가이제고뇌결핵류적치유솔。
Objective:To explore the principle of diagnosis and treatment of brain tuberculoma.Method:The clinical data of 15 patients with brain tuberculoma were retrospectively analyzed.The clinical characteristics and the operation modes of treatment were analyzed.Result:All 15 patients were diagnosed by the intraoperative pathological examination.There were 13 cases with operation resection and 2 cases with partial resection,and all patients were treated with antituberculosis drugs after operation.Patients were followed up from 3 to 24 months,and 1 patient happened hydrocephalus and did ventricular peritoneal shunt, and other patients recovered.Conclusion:The correct understanding about the clinical characteristics of brain tuberculoma can reduce the misdiagnosis rate of this disease,and the operation resection combined with antituberculosis drugs can improve the cure rate of brain tuberculoma.
