CAJ | 학술논문

目的儿童脑脓肿显微外科手术切除的治疗经验总结和分析.方法回顾性分析2000年1月至2007年12月30例行显微外科手术切除治疗儿童脑脓肿的方法和疗效.结果手术均全切除脓肿壁.随访21例治愈患儿,17例仍保持治愈,余4例未经影像复查但无异常临床表现.随访6例好转者,2例转为治愈,2例留有癫痫,1例留有左侧肢体偏瘫,1例死于先天性心脏病.结论儿童脑脓肿的显微外科手术切除,应当选择适当的手术时机,并且要选择合适的手术入路,必要时行术中B超定位,完整剥离脓肿壁,能达到治愈的目的.
목적 인동뇌농종현미외과수술절제적치료경험총결화분석.방법 회고성분석2000년1월지2007년12월30례행현미외과수술절제치료인동뇌농종적방법화료효.결과 수술균전절제농종벽.수방21례치유환인,17례잉보지치유,여4례미경영상복사단무이상림상표현.수방6례호전자,2례전위치유,2례류유전간,1례류유좌측지체편탄,1례사우선천성심장병.결론 인동뇌농종적현미외과수술절제,응당선택괄당적수술시궤,병차요선택합괄적수술입로,필요시행술중B초정위,완정박리농종벽,능체도치유적목적.
Objective To review our experience of microsurgery for the brain abscess in children who received microsurgery.Methods We carried out retrospective analysis of the treatment and clinical outcome of 30 pediatric patients who underwent microsurgery and developed brain abscess over a period of 7 years(Jan 2000-Dec 2007).Results The abscess with its cavity wall were removed successfully.21 patients were followed up.Seventeen of them underwent CT and MRI examinations and no recurrence.The remaining 4 patients were asymptomatic.Of the 6 patients who improved,2 recovered completely,2 patients had epilepsy,1 had left hemiplegia,and 1 patient died of congenital heart disease.Conclusions Microsurgery is a feasible treatment of the brain abscess in children.