Abstract: Objective To investigate the clinical value of surgical treatment for cerebral schistosomiasis. Methods The clinical data of 42 patients with cerebral schistosomiasis caused by Schistosoma japonicum undergoing surgical therapy were ana? lyzed retrospectively. Results There were 25 cases undergoing total resection of schistosomal granulomas and 17 cases undergo? ing partial resection of the lesions involving the functional areas or more than 2 lobes，and none died of the surgery. The post?surgi? cal follow?up showed that 31 cases recovered completely and returned to the normal work and life，2 developed mild weaknesses of all extremities，3 had post ? surgical epileptic seizures，2 died of schistosomal hepatic cirrhosis，and 1 died naturally. Conclu? sion Surgical treatment is an effective approach for cerebral schistosomiasis.

Key words: Cerebral schistosomiasis；Schistosoma japonicum；Computer tomography（CT）；Magnetic resonance imaging （MRI）； Surgical treatment

摘要： 目的 目的 探讨脑型血吸虫病外科治疗效果。方法 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 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 结论 外科手术是一种有效治疗脑型血吸虫病的方法。

关键词: 脑型血吸虫病； 日本血吸虫； CT； MRI； 外科治疗