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目的探讨根据脑脓肿的临床特点选择治疗方式,提高脑脓肿的治疗水平。方法根据不同的临床特点选择治疗方式:药物保守治疗5例(3例治疗治愈);钻颅穿刺抽脓10例(8例治愈);钻颅穿刺抽脓加置管引流8例(7例治愈);开颅显微脓肿摘除术14例全部治愈。结果有25例随访0.5～6年全部恢复良好,1例并右颞叶疝患者随访11个月,左侧肢体肌力2～3级,6例失访,无死亡病例。结论治疗脑脓肿没有单一的最佳方法,应根据脑脓肿的不同阶段、病情急缓、脓肿部位范围、影像特点及患者身体情况在长期使用有效抗生素的前提下选择具体的治疗方式。
Objective To investigate the treatment of brain abscess based on clinical features and to improve the treatment of brain abscess. Methods According to different clinical characteristics, 5 treatment methods were selected, including conservative treatment in 5 cases (cure of 3 cases), puncture in 10 cases (8 cases of curettage), aspiration in 8 cases ); Craniotomy microscopic abscess surgery in 14 cases were cured. Results 25 cases were followed up from 0.5 to 6 years and all recovered well. One patient with right temporal hernia was followed up for 11 months, the left limb muscle strength was from 2 to 3, and 6 patients were lost to follow-up without death. Conclusion There is no single best way to treat brain abscess. The specific treatment should be based on the different stages of brain abscess, the state of the disease, the extent of the abscess, the characteristics of the abscess and the physical condition of the patient under long-term use of effective antibiotics.