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目的 :分析脑结核瘤的临床特点 ,提高临床诊断准确率及治疗效果。方法 :结合文献对 1例多发性脑结核瘤患者的临床特点、影像学表现及治疗效果进行回顾性分析。结果 :该例脑内结核瘤粟粒样分布 ,病灶多达 15个以上 ,同时累及大脑、小脑及脑干 ,抗结核治疗后病灶缩小 ,数目明显减少。结论 :脑结核瘤的诊断需结合临床特点、影像学表现及抗痨效果综合判定。药物治疗是有效的 ,但需长程、规则。
Objective: To analyze the clinical features of brain tuberculoma and improve the accuracy of clinical diagnosis and treatment. Methods: A retrospective analysis was made on the clinical features, imaging findings and therapeutic effect of 1 case of multiple brain tumors with the literature. Results: The brain tuberculoma miliary distribution, the lesions as many as 15, involving the brain, cerebellum and brain stem, anti-TB treatment lesions narrowed, the number was significantly reduced. Conclusion: The diagnosis of brain tuberculosis should be combined with clinical features, imaging findings and comprehensive evaluation of anti-tuberculosis effect. Medication is effective, but long-term, regular.