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报告7例颅内结核瘤的非手术治疗,并总结了诊断和治疗经验。方法7例患者中,男5例,女2例。4例伴有其他器官的结核,所有患者均有神经系统的症状和体征并经CT头颅扫描确诊,行非手术治疗。结果6例患者经非手术治疗而治愈,1例死于颅内感染。结论CT扫描对颅内结核瘤的诊断价值很高,但颅内结核瘤在CT像上需与脑脓肿、胶质瘤和转移瘤相鉴别,大多数颅内结核瘤经非手术治疗可治愈。
Report 7 cases of non-surgical treatment of intracranial tuberculoma, and summed up the diagnosis and treatment experience. Methods 7 patients, 5 males and 2 females. 4 cases of tuberculosis accompanied by other organs, all patients have symptoms and signs of the nervous system and confirmed by CT cranial scan, non-surgical treatment. Results Six patients were cured by non-surgical treatment and one died of intracranial infection. Conclusion The CT scan is of great value in the diagnosis of intracranial tuberculoma. However, intracranial tuberculoma should be differentiated from brain abscess, glioma and metastasis on CT images. Most intracranial tuberculomas can be cured by non-surgical treatment.