摘要
本文总结40例有CT资料并经手术证实的脑脓肿。作者根据脑脓肿的术前CT病理形态将其分为4种类型,即:单腔薄壁脓肿、单腔厚壁脓肿、单发多腔脓肿和单发肉芽肿。作者认为对单腔薄壁脓肿宜行脓肿穿刺引流术;单腔厚壁脓肿宜行脓肿摘除术,单发多腔脓肿宜先行引流术后再行摘除术;单发肉芽肿宜先选择药物治疗,3个月后若脓肿无改变再行摘除术。本组治疗结果,存活37例(92.5％),死亡3例(7.5％),复发5例(12.5％)。
40 cases of brain abscess associated with CT scan's meterials and diagnostically confirmed by operation were reported in this article. According to the pathological features of CT scan before operation and from the point of surgical treatment brain abscess of this series was divided into four patterns. 1) single cavity abscess with thin wall; 2) single cavity abscess with thick wall; 3) single abscess with multiple cavities, and 4) single granuloma. The authours consider that the operation of simple aspiration followed by external drainage is suitable for abscess pattern one, total excision for pattern two, aspiration or drainage at first and then total excision for pattern three, and drug treatment at first and then total excision for pattern four, abscess remains unchanged after three months. Of all the cases so treated 37 survived, 3 died and 5 had recurrence.
出处
《同济医科大学学报》
CAS
CSCD
北大核心
1992年第6期394-395,共2页
Acta Universitatis Medicinae Tongji
关键词
脑脓肿
CT
神经外科手术
brain abscess
CT scan
surgical treatment
