42例日本血吸虫病所致脑型血吸虫病患者的外科治疗
Surgical treatment of 42 patients with cerebral schistosomiasis caused by Schistosoma japonicum.
作者信息
Wang Peng, Wu Ming-can, Chen Shi-jie, Yang Yong, Lu Xiao-jie
机构信息
Department of Neurosurgery, Neuroscience Center, Wuxi No. 2 Hospital Affiliated to Nanjing Medical University, Wuxi 214002, Jiangsu Province, China.
Department of Neurosurgery, First Affiliated Hospital of Yangtze University, Hubei Province, China.
出版信息
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2013 Aug;25(4):379-82.
OBJECTIVE
To investigate the clinical value of surgical treatment for cerebral schistosomiasis.
METHODS
The clinical data of 42 patients with cerebral schistosomiasis caused by Schistosoma japonicum undergoing surgical therapy were analyzed retrospectively.
RESULTS
There were 25 cases undergoing total resection of schistosomal granulomas and 17 cases undergoing partial resection of the lesions involving the functional areas or more than 2 lobes, and none died of the surgery. The post-surgical follow-up showed that 31 cases recovered completely and returned to the normal work and life, 2 developed mild weaknesses of all extremities, 3 had post-surgical epileptic seizures, 2 died of schistosomal hepatic cirrhosis, and 1 died naturally.
CONCLUSION
Surgical treatment is an effective approach for cerebral schistosomiasis.
目的
探讨脑血吸虫病外科治疗的临床价值。
方法
回顾性分析42例日本血吸虫所致脑血吸虫病患者接受外科治疗的临床资料。
结果
25例行血吸虫性肉芽肿全切除，17例因病变累及功能区或超过2个脑叶而行部分切除，无手术死亡病例。术后随访显示，31例完全康复，恢复正常工作和生活，2例出现四肢轻度无力，3例术后发生癫痫发作，2例死于血吸虫性肝硬化，1例自然死亡。
结论
外科治疗是脑血吸虫病的有效治疗方法。
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