摘要
目的评价开颅手术切除术及术中置管引流术治疗功能区脑脓肿的疗效并探讨以上两种治疗方法的优缺点。方法自2003年2月—2008年6月共外科手术治疗脑脓肿21例，其中男16例，女5例，年龄19～74岁（平均50.1岁）。单发病变19例，其中额叶9例，顶叶3例，颞叶2例，枕叶2例，基底节区1例，小脑1例，脑干1例；多发病变2例。共行开颅脓肿切除手术10例；术中置管引流9例。至外院立体定向引导脓肿穿刺及引流手术2例。结果手术均获得成功，出院时患者临床症状全部消失或明显改善，头颅CT或MRI复查显示脓肿腔消失。18例患者接受了3个月～2年的随访（平均11.4个月），均未见脓肿复发。结论开颅手术切除术及术中置管引流术在脑脓肿治疗中各有利弊。应该根据患者的情况、脓肿的大小、位置等具体情况选择适当的方法。
Objective To further evaluate the role of abscess removal and abscess aspiration and drainage for treatment of pyogenic brain abscesses in main functional area and to discuss their effectiveness and advantages and disadvantages. Methods 21 patients with brain abscess were surgically treated from Feb. 2003 to Jun. 2008. There were 16 males and 5 females and their ages ranged from 19 to 74 years, with an average of50. 1 years. Single brain abscess were found in 19 cases and multiple in 2. 10 patients were treated with microsurgical abscess excision and 9 patients accepted abscess aspiration and drainage by micro- surgery because their lesions were located in the main functional area. The remaining 2 patients were treated with stereotactic as- piration or drainage. Results All the operations were carried successfully out and no serious complications related to surgical op- erations. The clinical symptoms were disappear or improved remarkably and the CT or MRI re - examination disclosed disappear or obviously diminution of abscess at the time of discharge. No abscess recurrence occurred in the follow - up of a period from 3 months to 2 years （ average 11.4 months） in 18 patients. Conclusion The results suggested that both microsurgical abscess re- moval and microsurgical abscess aspiration or drainage are the effective methods for pyagenic brain abscesses and the treatment selection should depend on the size and location of abscess and patients＇condition.
出处
《实用心脑肺血管病杂志》
2008年第6期43-45,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
