摘要
目的提高对脑内结核瘤的诊断及治疗水平。方法总结近20年来收治的脑内结核瘤患者34例,其中保守治疗组23例,手术治疗组11例。结果保守治疗组除2例因治疗后复查病情无明显改变而转手术外,余21例均获痊愈,手术治疗组全部手术成功。结论随着头颅CT及MRI等广泛应用,结合脑内结核瘤的一般特点,多数脑内结核瘤患者治疗前可作出诊断,且多数患者可经保守治愈,手术治疗者应严格掌握手术指征。
Objective In order to promote the level of diagnostic and therapeutic level of intracranial tyuberculoma, Methods 34 cases of patients suffered from intracranial tuterculoma in our hospital in recent 20 years were stummarized, among them 23 cases under conservative treatment. 11 cases under operative tratment. Results All 21 cases in conservative therapy group were cured except two cases change into operation because no change happened after conservative treatment, while operative group all success cured artier operation. Conclusion Accompanied with widely use of cranial CT and Mill combined with general characteristics of intracranial tuberculoma. The majority of intracranial tuberculoma can be diagnostic before therapy, also the majority of patients can be cured through conservative therapy, those patients need operation must strictly master indication.
