神经内镜手术治疗脑脓肿患者21例临床研究

发布时间：2018-08-04 18:41

【摘要】：背景：脑脓肿是神经外科常见的感染性疾病,特别是在发展中国家发病率较高。细菌在繁殖、生长的过程中直接和(或)间接破坏大脑组织,若不经过内和或外科正规系统的治疗干预,患者通常遗留下严重的并发症及神经功能缺损；若任疾病自由进展,很可能出现脑疝或脓肿破溃等严重并发症,严重威胁患者的生命。因此脑脓肿是一种很严重的颅内感染性疾病,应积极治疗。随着微创神经外科时代的到来,外科医生在治疗方法上越来越重视选择对患者损伤小,疗效好的方法。研究显示,神经内镜手术治疗脑脓肿具有相当大的优势。目的：探讨神经内镜手术治疗脑脓肿的疗效及优势。方法：回顾性分析2009年3月至2014年10月收治的21例脑脓肿患者应用神经内镜手术治疗的方法及疗效。结果：所有患者术后症状均明显改善,术后复查CT、MRI脓肿清除满意,随访3月-6年无复发病例。结论：神经内镜手术治疗脑脓肿疗效满意,且具有很大优势。
[Abstract]:Background: brain abscess is a common infectious disease in neurosurgery, especially in developing countries. Bacteria destroy brain tissue directly and / or indirectly in the course of reproduction and growth. Without the intervention of the internal and surgical system, patients often have serious complications and neurological deficits; if the disease progresses freely, Severe complications such as brain hernia or abscess are likely to threaten the patient's life. Therefore, brain abscess is a very serious intracranial infectious disease, should be actively treated. With the advent of minimally invasive neurosurgery, surgeons pay more and more attention to the treatment of patients with less injury and good results. Studies have shown that endoscopic neurosurgery has considerable advantages in the treatment of brain abscesses. Objective: to investigate the curative effect and advantage of neuroendoscopy in the treatment of brain abscess. Methods: from March 2009 to October 2014, 21 patients with brain abscess were treated with neuroendoscopy. Results: the symptoms of all the patients were improved obviously, and there were no recurrence cases after 3 months to 6 years follow up with satisfactory clearance of MRI abscess. Conclusion: neuroendoscopy is effective in treating brain abscess and has great advantages.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R651.1

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