[1]林伟标,林少华,彭国俊,等.CT定位微创穿刺联合抗生素冲洗对比显微切除术治疗脑脓肿的临床研究[J].临床神经外科杂志,2018,15(06):460-462.[doi:10.3969/j.issn.1672-7770.2018.06.015]
 LIN Wei-biao,LIN Shao-hua,PENG Guo-jun,et al.CT-guided puncture and antibiotic flushing versus surgical resection for treatment of brain abscess[J].Journal of Clinical Neurosurgery,2018,15(06):460-462.[doi:10.3969/j.issn.1672-7770.2018.06.015]
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CT定位微创穿刺联合抗生素冲洗对比显微切除术治疗脑脓肿的临床研究()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年06期
页码:
460-462
栏目:
临床研究
出版日期:
2018-12-15

文章信息/Info

Title:
CT-guided puncture and antibiotic flushing versus surgical resection for treatment of brain abscess
作者:
林伟标林少华彭国俊苏家豪廖巍
528400 中山,广东省中山市人民医院神经外科(林伟标,林少华,苏家豪,廖巍);汕尾市陆河县人民医院外一科(彭国俊)
Author(s):
LIN Wei-biaoLIN Shao-huaPENG Guo-junet al.
Department of Neurosurgery,Zhongshan People’s Hospital,Zhongshan 528400,China
关键词:
脑脓肿CT定位微创穿刺抗生素冲洗治疗临床效果
Keywords:
brain abscessCT-guidedminimally invasive punctureantibiotic flushingclinical efficacy
分类号:
R651.1;616.2
DOI:
10.3969/j.issn.1672-7770.2018.06.015
文献标志码:
D
摘要:
【摘要】目的探讨脑脓肿发病特点和预后,以及CT定位微创穿刺联合抗生素冲洗疗法治疗脑脓肿的效果。方法回顾性分析广东省中山市人民医院2001年1月至2017年12月收治62例脑脓肿患者的临床资料,其中52例脑脓肿患者采用CT定位微创穿刺联合抗生素冲洗疗法;其余10例采用手术切除疗法。结果微创手术组治愈43例,治愈率为82.7%;6例好转,好转率为11.5%。 开颅手术组治愈6例,治愈率为 60.0%;3例好转,好转率为30.0%。术后6例患者死亡,开颅组和微创穿刺组各3例。结论采用CT定位微创穿刺联合抗生素冲洗治疗脑脓肿操作简单、安全性高、创伤小,可获得良好的治疗效果,值得临床广泛应用。
Abstract:
Abstract:ObjectiveTo investigate the characteristics and prognosis of brain abscess,and the effects of minimally invasive CT-guided puncture and antibiotic flushing for brain abscess.MethodsThe clinical data of 62 patients with cerebral abscesses from January 2001 to December 2017 in Zhongshan Peoples Hospital were analyzed retrospectively.Of 62 patients,52 with brain abscesses were treated with CT-guided puncture and 10 were treated with surgical resection.ResultsIn minimally invasive group,43 cases were cured and the cure rate was 82.7%.6 cases improved and the improvement rate was 11.5%.In surgical resection group,6 cases were cured and the cure rate was 60.0%.3 cases improved and the improvement rate was 30.0%.Six patients died 3 for each group.ConclusionThe CT-guided minimally invasive puncture combined with antibiotic flushing for the treatment of brain abscess is simple,safe,and less traumatic,can obtain good therapeutic effect,and is worthy of clinical application.
更新日期/Last Update: 1900-01-01