Objective: To evaluate the time and effect of shunt operation on cryptococcal meningitis.
Methods: A total 7 patients received shunt operation for the therapy of cryptococcal meningitis patients and the data was retrospectively analyzed.
Results: Intracranial hypertension-caused symptoms were resolved immediately. There was no complication, no infection dissemination and no recrudescence of cryptococcal meningitis.
Conclusion: Shunt operation is effective for intracranial hypertension caused by cryptococcal meningitis. It does not affect the antifungal treatment.
目的：探讨分流手术在新型隐球菌脑膜炎患者治疗中的时机并评价其疗效。方法：回顾性分析7例采取分流手术治疗新型隐球菌脑膜炎患者的经过。结果：7例患者颅内压得到了有效的控制，相关症状明显缓解。住院及随访期间未出现与分流手术相关的并发症，未发生因分流手术造成的隐球菌播散及难治性隐球菌感染，也未发生因此导致的感染复燃。结论：分流手术可以有效缓解新型隐球菌脑膜炎所致的颅内压增高，且不对抗隐球菌的治疗产生不良影响。.