摘要
本文介绍CT引导、颅表定位器、骨性标志及B超引导四种定位方法,对病灶小而深,难以直接手术切除的17例脑脓肿行定向引流术,术后继续引流7天左右,常规应用抗生素4周.CT复查14例显示脓肿已全部吸收.
Stereotactic manage meat of brain abscess was performed in 17 patients (22 abscesses) . These lesions are often small and deep in the brain close to vital structures, making surgical diffcalties. The targets were loca ted with CT-guidance in 4 cases, extracranial locator in 3 cases, bony marks in 6 cases and ultrasonic B guided in 4 cases.After aspiration, external drainages were applied in all cases for an average of 7 days, and a total of 4 weeks of antibiotic therapy in every case was adopted. Follow-up CT showed resolution of the abscesses in 14 patients. Stereotactic suction drainage would be considered in patients with small and or deepseated abscesses, and in those who have failed in prior therapies.
