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目的探讨脑型血吸虫病外科治疗效果。方法回顾性分析42例由日本血吸虫感染引起的脑型血吸虫病患者病例资料,评估外科手术治疗脑型血吸虫病效果。结果25例患者接受血吸虫性肉芽肿全切除术,17例患者因病灶累及功能区或2个以上脑叶而接受血吸虫性肉芽肿全切除术。术中无患者死亡。术后随访发现,31例患者完全恢复,且能正常工作、生活;2例肢体轻度麻木;3例术后癫痫发作;2例死于血吸虫性肝硬化;1例自然死亡。结论外科手术是一种有效治疗脑型血吸虫病的方法。
Objective To investigate the surgical treatment of cerebral schistosomiasis. Methods A retrospective analysis of 42 cases of Schistosoma japonicum infection caused by cerebral schistosomiasis patients data to evaluate the surgical treatment of cerebral schistosomiasis. Results 25 patients underwent total resection of schistosomiasis granuloma and 17 patients underwent total resection of schistosomiasis granuloma due to lesions involving functional areas or more than two lobes. No patients died during surgery. Follow-up postoperatively found that 31 patients were completely recovered, and can work and live; 2 patients with mild numbness; 3 cases of postoperative epileptic seizures; 2 died of schistosomiasis cirrhosis; 1 case of natural death. Conclusion Surgery is an effective method to treat cerebral schistosomiasis.