摘要目的 探讨脑实质型囊性囊虫病的诊断与显微手术治疗效果.方法 对11例行显微手术治疗的脑实质型囊性囊虫病患者的手术效果进行分析总结.结果 病灶内有头节的患者头节均被摘除,9例患者囊壁全部摘除,2例患者囊壁大部分摘除,术后病理均证实为脑囊虫.随访3个月-6年,有癫痫的6例患者术后癫痫均控制良好,术前有颅高压的5例患者术后症状立即明显改善,术前有肌力障碍的2例患者术后6个月内肌力均恢复正常,有共济失调症的1例患者该症状亦明显减轻.失访1例.结论 脑实质型囊性囊虫病误诊率较高,但显微手术治疗效果良好.

abstractsObjective To explore the therapeutic efficacy of microsurgery in cystic cerebral parenchyma type cysticercosis. Method A retrospective analysis of the clinical data and prognosis of microsurgery was performed in 11 cystic cerebral parenchyma type cysticercosis cases. Results All head-segments found in the cysts were removed completely. Total resection was achieved in 9 cases and subtotal resection was achieved in 2 patients. The lesions were proved to be cerebral cysticercosis according to pathologic results. All these patients were followed up for about 3 months to 6 years, among which 5 cases recovered from the hypercranial pressure soon after the operation,6 cases with epilepsy before were epilepsy free after the operation, 2 cases recovered from the bemiparesis within 6 months after operation, 1 patient almost recovered from the cerebellar ataxia. 1 patient lost follow up. Conclusions The misdiagnosis rate of cystic cerebral parenchyma type cysticercosis was high, but satisfactory clinical outcome of microsurgery can be accomplished.