[1]刘彬,王振宇,谢京城,等.脑脓肿的诊断和治疗(附20例报告)[J].中国微创外科杂志,2005,05(12):1050-1051.
　Liu Bin,Wang Zhenyu,Xie Jingcheng,et al.Diagnosis and treatment of brain abscesses: A report of 20 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1050-1051.
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脑脓肿的诊断和治疗(附20例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1050-1051
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
Diagnosis and treatment of brain abscesses: A report of 20 cases
作者:
刘彬; 王振宇; 谢京城; 陈晓东; 裴新龙①
北京大学第三医院神经外科,北京,100083
Author(s):
Liu Bin;  Wang Zhenyu;  Xie Jingcheng;  et al.
Department of Neurosurgery, Peking UniversityThirdHospital, Beijing100083, China
关键词:
脑脓肿; 诊断; 磁共振
Keywords:
Brain abscess; 　Diagnosis; 　Magnetic resonance
分类号:
R651.104
文献标志码:
A
摘要:
目的探讨脑脓肿的诊断和治疗.方法1996年1月～2004年6月20例脑脓肿均行CT检查,8例行MR检查中2例行磁共振波谱检查,应用头孢曲松联合甲硝唑治疗1～9周,平均3.7周.CT或B超引导下3例行脓肿切除术,5例行脓肿穿刺引流术.结果1例因脓肿破入脑室死亡,16例治愈(无后遗症),3例好转(残留肢体偏瘫).8例手术患者无一例死亡.合并有糖尿病、结核、HIV抗体阳性及肾移植8例中4例治愈,无相关疾病12例治愈;脓肿与脑室关系密切9例中有5例治愈,脓肿表浅11例均治愈.5例多发脓肿均治愈,15例单发脓肿有11例治愈.结论脑脓肿早期诊断、早期抗感染治疗大部可治愈,MR是早期明确诊断的重要方法,立体定向手术是较好的手术方式.
Abstract:
Objective　To discuss the diagnosis and treatment ofbrain abscesses.　M ethods　A total of20 patientswith brain abscesses from January 1996 to June 2004 were studied. All the patients received a CT scanning, and 8 patientswere given an MRI examination (two of them underwent a magnetic resonance spectroscopy). An administration of ceftriaxone in combination with metronidazolewas given for1~9 weeks (mean, 3. 7 weeks). Surgerywas conducted in 8 patients under the guidance ofCT scanning orB-ultrasonography, including 3 cases of abscess resection and 5 cases of aspiration and drainage.　Results　One patientdied of ventricle involvement, 16 patientswere curedwithoutafter-effects, and 3 patientswere improved but the hemiplegiawas leftbehind. No surgery- related deaths were encountered in the 8 surgical cases. Among 8 patients who complicated with diabetes mellitus, tuberculosis, HIV infection, or kidney transplantation, 4 patients were cured; all the remaining 12 patients without co-morbidities were cured. Among 9 patients with lesions closely near the ventricle, 5 were cured, while the rest of 11 patients with superficial abscesseswere all cured. All the 5 patients with multiple abscesses were cured, and 11 out of 15 patients with solitary lesion were cured.　Conclusions　Mostbrain abscesses can be cured by early diagnosis and early drug administration. Themagnetic resonance is an importantmeans for early diagnosis, and the stereotactic operation is a favorable surgical treatment.

参考文献/References:

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备注/Memo

备注/Memo:
①放射科
更新日期/Last Update: 2014-04-29