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目的：进一步了解脑结核瘤的临床特点及药物治疗的效果。方法：对１４６例脑结核瘤病人进行分析，其中对５例病人行手术切除，１４１例给予抗结核药物治疗。结果：脑结核瘤临床主要表现为癫发作。ＣＴ增强扫描后的盘状或环状高密度影为本病的特征性改变。手术治疗２例留有后遗症；药物治疗结束２年以上随访１０６例，仅１例偶发癫。结论：单纯药物治疗脑结核瘤疗效安全、可靠，值得大力推广。
Objective: To further understand the clinical features of brain tuberculosis and the effect of drug treatment. Methods: A total of 146 patients with brain tuberculoma were analyzed. Surgical resection was performed on 5 patients and anti-TB drug therapy was given on 141 patients. Results: The main clinical manifestations of brain tuberculosis were epileptic seizures. CT enhanced scan of the disc or ring-shaped high-density film is the characteristic changes of the disease. Surgical treatment of 2 cases left sequelae; drug treatment over 2 years follow-up of 106 cases, only 1 case of epilepsy. Conclusion: The simple drug treatment of brain tuberculoma is safe, reliable and worthy of promotion.