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目的：提高颅内结核瘤的诊断与治疗水平。方法：回顾性分析１０年间收治的颅内结核瘤３０例，均曾行头颅ＣＴ检查。单纯化疗１０例，手术加化疗２０例，所有病例均采用６个月短程化疗方案（２ＨＲＺ／４ＨＲ）。结果：单纯化疗１０例和病灶活检后化疗２例均治愈，手术全切除１６例及部分切除１例治愈，手术死亡１例。结论：头颅ＣＴ检查对颅内结核瘤具有诊断价值；短程化疗可获良好效果，对手术指证应从严掌握。
Objective: To improve the diagnosis and treatment of intracranial tuberculoma. Methods: A retrospective analysis of 10 cases of intracranial tuberculous tumors admitted in 30 cases, had a head CT examination. Simple chemotherapy in 10 cases, surgery and chemotherapy in 20 cases, all cases were used 6-month short-course chemotherapy regimen (2HRZ / 4HR). Results: 10 cases of chemotherapy alone and 2 cases of chemotherapy after biopsy were cured, 16 cases were completely excised and 1 case was partially resected. One case died of surgery. Conclusion: Head CT examination has diagnostic value for intracranial tuberculoma; short-course chemotherapy can achieve good results, the surgical indication should be strictly controlled.