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目的 :脑膜癌病的脑脊液细胞学改变及其对本病的诊断价值。方法 :10例脑膜癌病患者 ,经临床表现、MRI、脑脊液细胞学改变进行分析。结果 :脑膜癌病的临床表现主要为头痛 ,恶心呕吐 ,四肢无力和不同程度脑膜刺激征 ,局灶定位体征少 ,病情进行性加重。增强MRI有脑膜增强效应且与脑表面相连 ,对本病诊断具有重要的指导意义。脑脊液细胞学检查发现癌细胞。结论 :脑脊液细胞学检查对本病具有诊断意义
Objective: Cystic changes of cerebrospinal fluid in patients with meningeal carcinomatosis and its diagnostic value for this disease. Methods: Ten cases of meningeal carcinomatosis were analyzed by clinical manifestations, MRI and cytology of cerebrospinal fluid. Results: The main clinical manifestations of meningeal carcinomatosis were headache, nausea, vomiting, weakness of the extremities and different degrees of meningeal irritation. There were fewer focal localization signs and worsened progression of the disease. MRI-enhanced meningeal enhancement effect and connected with the brain surface, the diagnosis of the disease has an important guiding significance. Cytological examination of CSF revealed cancer cells. Conclusion: Cytological examination of cerebrospinal fluid is of diagnostic significance for this disease