Title

腦膿腫的微創手術治療

Translated Titles

The Surgical Therapy of Brain Abscesses with Minimally Invasive Technique

Authors

劉民(Min Liu);周大彪(Da-Biao Zhou);孫曉陽(Xiao-Yan Sun);金孝東(Xiao-Dong Jin);卜向飛(Xiang-Fei Bu)

Key Words

腦膿腫 ; 手術 ; 微創 ; brain abscesses ; surgery ; minimally invasive

PublicationName

中國醫刊

Volume or Term/Year and Month of Publication

40卷12期(2005 / 12 / 01)

Page #

31 - 32

Content Language

簡體中文

Chinese Abstract

目的 分析腦膿腫的手術療效,探討腦膿腫的微創外科治療方法。方法 根據術前評估和術中情況選擇①膿腫抽吸和(或)引流;②膿腫完整切除或膿壁切開+刮除膿苔+膿壁全部/部分切除。結果 手術死亡率為4.76%(3/63)。無一例因膿壁切開手術引起感染擴散,所有患者術後CT復查顯示病變均有不同程度地縮小和消失,獲得隨訪45例術後神經功能良好。結論 膿壁切開+刮除膿苔+膿壁全部/部分切除的方法能有效保留神經功能,符合微創手術理念。

English Abstract

Objective To analyze the surgical effect of brain abscess and to investigate the role of minimally invasive procedures during brain abscess surgery. Methods According to preoperative evaluation and intraoperative conditions, we select ①aspiration and/or drain of brain abscess; ②complete removal of lesion, or abscess incision combined with pyogenic moss curettage and abscess wall resection. Result Over all morality was 4.76% (3/63) in this series. There was no in patients experienced infection spreading after abscess incision. The abscesses disappeared or shrieked with various degrees on postoperative computed topography scanning. 45 patients showed neurological improvement in following study. Conclusion It is effective to preserve the neurological function that performing abscess incision combined with pyogenic moss curettage and pyogenic wall resection, as well as in accordance with the concept of minimally invasive neurosurgery.

Topic Category 醫藥衛生 > 醫藥衛生綜合