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目的:脊柱包囊虫病很少见,有一定的地区性,本文拟通过讨论其临床特点及治疗方法。方法:本组18例,男12例,女6例,平均37岁,腰椎11例,胸椎7例,疼痛为共同的表现,有不同程度的截瘫诊状。X线片示:椎体有楔形变,骨质破坏,椎间隙变窄,部分有软组织影,化验嗜酸细胞有不同程度的增高,补体结合试验12例阳性,Casoni试验16例阳性。均行手术治疗。结果:随访1～9年,14例近远期效果好,4例复发,所有病人存活。结论:脊柱包囊虫病手术治疗,预后满意。
PURPOSE: Spinal cysticercosis is rare and has some regional characteristics. This article intends to discuss its clinical features and treatment. Methods: The group of 18 patients, 12 males and 6 females, an average of 37 years old, 11 cases of lumbar, thoracic 7 cases, the pain is a common manifestation, with varying degrees of paraplegia. X-ray showed: vertebral wedge deformation, bone destruction, intervertebral space narrowing, some soft tissue, test eosinophils were increased to varying degrees, 12 cases of complement fixation test was positive, Casoni test 16 cases were positive. All patients underwent surgical treatment. Results: Followed up for 1 to 9 years, 14 patients had good short-term and long-term effects, 4 patients relapsed and all patients survived. Conclusion: Surgical treatment of spinal cysticercosis, the prognosis is satisfactory.