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目的探讨应用神经内镜治疗第三脑室囊虫病的手术方法及相关问题。方法回顾性分析2009年7月-2014年12月7例第三脑室囊虫病患者的临床资料,年龄12~49岁,所有患者均行神经内镜下第三脑室囊虫切除手术,术后给予阿苯达唑口服抗囊虫药物治疗。结果患者术后高颅压症状不同程度缓解,1例患者术后出现发热症状,其余患者无明显手术并发症,复查头颅CT或磁共振成像(MRI),全部患者脑室大小形态不同程度改善,脑积水症状缓解,全部病例疗效满意。结论使用神经内镜治疗第三脑室囊虫病操作简单、脑组织损伤小、术后并发症少,应作为首选治疗方法。
Objective To investigate the surgical methods and related problems of neurosurgical treatment of third ventricle cysticercosis. Methods The clinical data of 7 patients with third ventricle cysticercosis from July 2009 to December 2014 were retrospectively analyzed. All patients underwent endoscopic neurosurgical endoscopic third ventricle cysticercosis after operation Give albendazole oral anti-cysticercosis drug treatment. Results The postoperative symptoms of intracranial hypertension were relieved to varying degrees. One patient had fever after operation. The other patients had no obvious complication of operation. The head CT or MRI were reviewed. The size and shape of all patients’ ventricles were improved to some degree. Symptoms of hydronephrosis, all cases of satisfactory results. Conclusion The use of endoscopic treatment of third ventricle cysticercosis simple operation, small brain damage, less postoperative complications, should be used as the preferred method of treatment.