53例颅内结核瘤的临床分析

中国防痨杂志 ›› 2005, Vol. 27 ›› Issue (6): 393-395.

53例颅内结核瘤的临床分析

孔忠顺；卜建玲；杜亚东；王静；高微微；

北京结核病胸部肿瘤研究所北京 101149；

出版日期:2005-06-10 发布日期:2005-11-03

The clinical analysis on 53 cases with intracranial tuberculoma

Kong Zhongshun,Bu Jianling,Du Yadong,et al.

Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China

Online:2005-06-10 Published:2005-11-03

摘要/Abstract

摘要： 目的　探讨颅内结核瘤的临床特点及抗结核药物治疗的效果。方法对53例颅内结核瘤病例作了回顾性分析,患者抗结核药物治疗1.5～2年,于疗程结束随访观察0.5～2年。结果 MRI较CT提高了颅内结核瘤的发现率,53例患者的误诊率77.4%,死亡率5.7%,满疗程治愈率84.9%,随访期间无1例复发。结论颅内结核瘤应早期发现,早期抗结核药物治疗效果好,预后佳。

关键词: 结核瘤, 颅内

Abstract: Objective To investigate the clinical features of intracranial tuberculoma and its therapeutic effect of antituberculosis drugs. Method A total of 53 cases with intracranial tuberculoma were reviewed.All of them were received 18～24 months anti-tuberculosis chemotherapy and followed-up for 6 to 24 months after of treatment completion. Results MRI in detection of intracranial tuberculomas was superior to CT.The misdiagnostic rate was 77.4%,the death rate was 5.7% and the cure rate 84.9% in 53 cases.None of them relapsed during follow up. Conclusion The intracranial tuberculoma should be recognized at the early stage.The therapeutic Results and its prognosis are excellent when anti-tuberculosis chemotherapy is given in the early phase of disease.

Key words: Tuberculoma, intracranial

孔忠顺,卜建玲,杜亚东,王静,高微微,. 53例颅内结核瘤的临床分析[J]. 中国防痨杂志, 2005, 27(6): 393-395.

Kong Zhongshun,Bu Jianling,Du Yadong,et al.. The clinical analysis on 53 cases with intracranial tuberculoma[J]. Chinese Journal of Antituberculosis, 2005, 27(6): 393-395.

[1]	尹曲华, 蒋智善, 聂赣娟, 姚其能. 胸膜结核瘤的MRI表现特征分析[J]. 中国防痨杂志, 2020, 42(11): 1153-1157.
[2]	丛阳,张怡,毕珂,沈梦君,朱惠铭,陈宏伟,王茵. 胸膜结核瘤常规超声及超声造影的表现特征研究[J]. 中国防痨杂志, 2019, 41(8): 808-815.
[3]	周柳青，邹丹凤，范琳. 结核性胸膜炎并发胸膜结核瘤的影响因素探讨[J]. 中国防痨杂志, 2017, 39(11): 1185-1188.
[4]	朱朝辉，李彤，哈晓吾，袁晨，木克代斯，买热帕提. 婴幼儿颅内结核的MRI影像特点[J]. 中国防痨杂志, 2016, 38(11): 1002-1006.
[5]	陈亮，钟球，刘文，覃杰，梁波涛，高翠南，周琳. 肺结核球误诊为周围型肺癌及两者的CT表现分析[J]. 中国防痨杂志, 2015, 37(2): 178-182.
[6]	李淑艳刘国利吴海良战云飞杨效光. 多发性脑结核瘤13例临床分析[J]. 中国防痨杂志, 2011, 33(5): 280-283.
[7]	沙巍, 孙勤, 唐神结. 右上肺团块影伴纵隔淋巴结肿大[J]. 中国防痨杂志, 2010, 32(7): 65-68.
[8]	张磊, 周衍慧, 何燕, 赵广成, 李景英, 王俊英, 刘佳, 王乐峰, 贾素华. CT在胸膜结核瘤诊断中的价值[J]. 中国防痨杂志, 2010, 32(5): 28-30.
[9]	赵志清,罗帝林,谭永良,侯瑜,许朝璇,杨茂洪,吴冬,黄春元,郑可国. 多层螺旋CT对胸膜结核瘤的诊断价值[J]. 中国防痨杂志, 2009, 31(5): 295-296.