| 脑结核瘤的诊断和手术治疗 |
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| 引用本文： | 项永生,刘灵慧,陈善成,谭卫国,杜天明,冯光.脑结核瘤的诊断和手术治疗[J].中华神经医学杂志,2005,4(10):1051-1052. |
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| 作者姓名： | 项永生 刘灵慧 陈善成 谭卫国 杜天明 冯光 |
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| 作者单位： | 1. 510630 广州,暨南大学第一附属医院神经外科
2. 518020,广东省深圳市肺结核防治中心 |
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| 摘 要： | 目的提高脑结核瘤的诊断和手术治疗水平.方法回顾性分析14例脑结核瘤的临床表现、诊断方式和手术疗效.结果13例全切除,1例全切加减压,术后均予正规的抗结核药物治疗.除1例死亡外,其余全部治愈出院.结论脑结核瘤的诊断应结合临床表现、影像学特点、实验室检查和抗结核疗效进行综合分析.在严格掌握适应证的情况下,手术治疗效果良好.
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| 关 键 词： | 结核瘤 颅内 诊断 显微外科手术 |
| 文章编号： | 1671-8925（2005）10-1051-002 |
| 收稿时间： | 2005-06-13 |
| 修稿时间： | 2005年6月13日 |
Diagnosis and operative treatment of intracranial tuberculoma |
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| XIANG Yong-sheng,LIU Ling-hui,CHEN Shan-cheng,TAN Wei-guo,DU Tian-ming,FENG Guang.Diagnosis and operative treatment of intracranial tuberculoma[J].Chinese Journal of Neuromedicine,2005,4(10):1051-1052. |
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| Authors: | XIANG Yong-sheng LIU Ling-hui CHEN Shan-cheng TAN Wei-guo DU Tian-ming FENG Guang |
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| Abstract: | Objective To improve the level of diagnosis and operative treatment of intracranial tuberculoma. Methods A retrospective review of 14 patients with intracranial tuberculoma was conducted including the clinical manifestations, diagnosis and surgical outcomes. Results 6 cases were misdiagnosed as intracranial tumors or abscess, Total removal was achieved in 13 cases. Total removal and decompression were achieved in 1 case. All the patients were regularly treated with anti-tuberculosis drugs. 1 was deceased and the others were cured. Conclusion Intracranial tuberculoma can be diagnosed comprehensively based on its clinical manifestations, radiological characteristic, laboratory examination and response to the anti-tuberculosis drugs. Good operative outcome may be achieved when operative indications are strictly followed. |
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| Keywords: | Tuberculoma intracranial Diagnosis Microsurgery |
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