多房性脑脓肿的临床诊疗分析

发布时间：2018-05-12 22:17

本文选题：脑脓肿 + 多房性　；参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：通过多房性脑脓肿(MLPBA)与单房性脑脓肿(ULPBA)对比研究,研讨多房性脑脓肿(MLPBA)患者的临床诊疗。方法：回顾性分析新疆医科大学第一附属医院神经外科2011年1月至2015年1月治疗的54例脑脓肿病人的临床资料,其中多房性脑脓肿15例,单房性脑脓肿39例,数据行统计学处理分析。结果：本组研究多房性脑脓肿与单房性脑脓肿所占比例分别为27.8%和72.2%,两组间性别、年龄、病程、临床表现、病变部位及感染途径差异均无统计学意义(P0.05)。而是否破入脑室及脓肿体积差异有统计学意义(P0.05)。多房性脑脓肿破入脑室概率和细菌培养阳性率均高于单房性脑脓肿。多房性脑脓肿的穿刺引流复发率为6.7%,死亡率为0%。单房性脑脓肿的穿刺引流复发率为5.1%,死亡率为2.6%。结论：多房性脑脓肿首选手术治疗,手术方式的选择应根据病人的脓肿大小,脓肿壁的厚薄,是否位于功能区,以及病人的身体状况决定,预后良好。
[Abstract]:Objective: to study the clinical diagnosis and treatment of multilocular brain abscess (MLPBA) and single locular brain abscess (LPBA). Methods: the clinical data of 54 patients with brain abscess treated in the first affiliated Hospital of Xinjiang Medical University from January 2011 to January 2015 were retrospectively analyzed, including 15 cases of multilocular brain abscess and 39 cases of unilateral brain abscess. The data were analyzed by statistical analysis. Results: the percentages of multilocular brain abscess and single locus brain abscess were 27.8% and 72.2%, respectively. There was no significant difference in sex, age, course of disease, clinical manifestation, lesion location and infection pathway between the two groups. However, there was a statistically significant difference in the volume of ventriculus and abscess between the two groups (P 0.05). The probability of breaking into the ventricle and the positive rate of bacterial culture of multilocular brain abscess were higher than that of single locular brain abscess. The recurrent rate of puncture and drainage of multilocular brain abscess was 6.7 and the mortality was 0. The recurrent rate of puncture and drainage was 5.1 and the mortality was 2.6%. Conclusion: the first choice of surgical treatment for multilocular brain abscess should be based on the size of abscess, the thickness of abscess wall, whether the abscess is located in the functional area, and the condition of the patient. The prognosis is good.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R651.1

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