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本文报导27例脊柱包囊虫病的临床特徵及手术治疗和术后随访的结果。临床资料: 男18例,女9例。年龄从7~63岁,平均36岁。除1例尸检证实外,余26例由手术确诊。腰椎(14例)和胸椎(12例)最常受累,13例累及数个椎体,7例为多发性包虫囊肿。从发病至首次就诊时间为1月至15年不等。均有神经系统症状;26例(96.3%)起病时有若干类型的疼痛(腰痛,腰椎性坐骨神经痛18例,胸神经根痛5例,背痛2例,及右臂神经根痛1例)。最常见而重要的临床表现为不全性截瘫
This article reports the clinical features of 27 cases of spinal cysticercosis and the results of surgical treatment and postoperative follow-up. Clinical data: 18 males and 9 females. Age from 7 to 63 years old, an average of 36 years old. In addition to 1 case confirmed by autopsy, the remaining 26 cases were confirmed by surgery. The lumbar spine (14 cases) and thoracic spine (12 cases) were most often involved, 13 cases involved several vertebral bodies, and 7 cases were multiple hydatid cysts. The time from onset to first visit varies from January to 15 years. All had neurological symptoms; 26 cases (96.3%) had several types of pain at the onset (low back pain, 18 cases of lumbar sciatica, 5 cases of thoracic radicular pain, 2 cases of back pain, and 1 case of right arm radicular pain ). The most common and important clinical manifestation is incomplete paraplegia