[1]管江衡　丁慧超　马生辉等.立体定向穿刺引流术治疗脑深部脓肿临床分析[J].中国临床神经外科杂志,2021,26(02):79-81.[doi:10.13798/j.issn.1009-153X.2021.02.005]
　GUAN Jiang-heng,DING Hui-chao,MA Sheng-hui,et al.Stereotactic puncture, aspiration and drainage for patients with deep-seated brain abscess[J].,2021,26(02):79-81.[doi:10.13798/j.issn.1009-153X.2021.02.005]
点击复制

立体定向穿刺引流术治疗脑深部脓肿临床分析()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年02期
页码:
79-81
栏目:
论著
出版日期:
2021-02-25

文章信息/Info

Title:
Stereotactic puncture, aspiration and drainage for patients with deep-seated brain abscess
文章编号:
1009-153X（2021）02-0079-03
作者:
管江衡　丁慧超　马生辉等
中国人民解放军中部战区总医院神经外科（管江衡、丁慧超、马生辉、冯　煜、韦　可、宋　健、姚国杰、谢天浩）；430065 武汉，武汉科技大学医学院（马生辉、冯　煜、宋　健、谢天浩）
Author(s):
GUAN Jiang-heng;  DING Hui-chao;  MA Sheng-hui;  et al
Department of Neurosurgery,General Hospital of Central Theater Command, PLA, Wuhan 430070, Chian; 2. Medical College, Wuhan University of Science and Technology, Wuhan 430065, China
关键词:
脑深部脓肿; 立体定向穿刺引流术; 疗效
Keywords:
Deep brain-seated abscess;  Stereotactic aspiration;  Drainage
分类号:
R 742.7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2021.02.005
文献标志码:
A
摘要:
目的 探讨立体定向穿刺引流术治疗脑深部脓肿的效果。方法 回顾性分析2012年1月至2019年12月立体定向穿刺引流术治疗的7例脑深部脓肿的临床资料。结果 6例为单发脓肿，1例为多房性脓肿；脓肿位于中脑1例，丘脑1例，基底节区1例，颞叶深部2例，额顶叶深部2例。术后5例脓肿消失，意识恢复清醒；1例虽意识恢复清醒，但最终因延髓炎症造成呼吸、心跳骤停死亡；1例颞部深部脓肿为多房性脓肿，单次穿刺引流不全后进一步开颅手术，最终治愈。结论 立体定向穿刺引流术定位准确、安全、创伤小，是一种治疗脑深部脓肿有效方法，尤其单个脑深部脓肿。
Abstract:
Objective To explore the effect of stereotactic puncture, aspiration and drainage on the patients with deep-seated brain abscess. Methods The clinical data of 7 patients with deep-seated brain abscess who underwent stereotactic puncture, aspiration and drainage from January 2012 to December 2019 were analyzed retrospectively. Results Of these 7 patients, 6 patients were single abscess, and 1 was multilocular abscess. One abscess was located in the midbrain, 1 in the thalamus, 1 in the basal ganglia, 2 in the deep temporal lobe, and 2 in the deep frontal parietal lobe. After the drainage, 5 patients whose abscesses were disappeared were cured, 1 patient died of respiratory arreat or cardiac arrest due to inflammation of the medulla oblongata, and 1 patient with multilocular abscess in the deep temporal lope received craniotomy due to incomplete drainage and was finally cured. Conclusions The stereotactic puncture, aspiration and drainage, which has advantages such as accurate, safety, and minimally invasive, is a good method for the treatment of the patients with deep-seated brain abscess, especially for those with single deep-seated brain abscess.

参考文献/References:

[1] Muzumdar D, Jhawar S, Goel A. Brain abscess: an overview[J]. Int J Surg, 2011, 9(2): 136-144.
[2] Moorthy RK, Rajshekhar V. Management of brain abscess: an overview [J]. Neurosurgical Focus, 2008, 24(6): E3.
[3] Brook I. Microbiology and treatment of brain abscess [J]. J Clin Neurosci, 2017, 38: 8-12.
[4] Lastours V, Kalamarides M, Leflon V, et al. Optimization of bacterial diagnosis yield after needle aspiration in immuno-competent adults with brain abscesses [J]. Neurosurgery, 2008, 63(4 Suppl 2): 362-368.
[5] Lu CH, Chang WN, Lui CC. Strategies for the management of bacterial brain abscess [J]. J Clin Neurosci, 2006, 13(10):979-985.
[6] Chen M, Low DCY, Low SYY, et al. Management of brain abscesses: where are we now [J]? Childs Nerv Syst, 2018, 34(10): 1871-1880.
[7] Brouwer MC, Coutinho JM, van de Beek D. Clinical charac-teristics and outcome of brain abscess: systematic review and meta-analysis [J]. Neurology, 2014, 82(9): 806-813.
[8] Brouwer MC, Tunkel AR, Mckhann GM, et al. Brain abscess[J]. N Engl J Med, 2014, 371(5): 447-456.
[9] Brouwer MC, Diederik VDB. Epidemiology, diagnosis, and treatment of brain abscesses [J]. Curr Opin Infect Dis, 2017,30(1): 129-134.
[10] Elango K, Tirunagari D, Murthi S, et al. Brainstem abscess successfully treated with stereotactic aspiration [J]. QJM, 2018, 111(5): 327-328.

相似文献/References:

[1]张修民　聂　盼　柳　雯　张继波　付　锴　陈劲草　江普查　张　捷.立体定向穿刺引流术或开颅切除术治疗脑脓肿[J].中国临床神经外科杂志,2020,(09):632.[doi:10.13798/j.issn.1009-153X.2020.09.020]
[2]韦　可　曹　杰　陈大瑜等.多发性脑脓肿的综合性治疗（附5例分析）[J].中国临床神经外科杂志,2021,26(11):833.[doi:10.13798/j.issn.1009-153X.2021.11.005]
　WEI Ke,CAO Jie,CHEN Da-yu,et al.Clinical efficacy of stereotactic puncture and drainage combined with antibiotics treatment for multiple brain abscesses: report of 5 cases and literature review[J].,2021,26(02):833.[doi:10.13798/j.issn.1009-153X.2021.11.005]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81701355）；武汉市中青年医学骨干人才培养工程
通讯作者：姚国杰，E-mail：yaoguojie@sina.com 谢天浩，E-mail: xrang@163.com
更新日期/Last Update: 2021-02-25