隐源性脑脓肿42例误诊原因分析

Study on causes for misdiagnosis in 42 cases of cryptogenic brain abscess.

目的分析将隐源性脑脓肿误诊为胶质瘤的原因,以期提高临床诊治水平。方法对我科近6年来42例脑脓肿患者的临床资料进行回顾性分析。结果42例脑脓肿中有4例隐源性脑脓肿被误诊为胶质瘤,并均行了脓肿穿刺引流术,痊愈出院。结论诊断思路开阔,术前仔细阅读分析影像学资料,并对手术作多种准备,能够提高隐源性脑脓肿的诊治水平。

Objective To analyze the reasons for cryptogenic brain abscess misdiagnosed as glioma and the view for improving level of clinical diagnosis and treatment. Methods The clinical data of 42 cases of brain abscess in this department in recent 6 years were retrospectively reviewed and analyzed. Results Four of 42 cases of brain abscess were misdiagnosed as glioma, and all abscesses in patients were drained and cured, then patients discharged. Conclusion Opening mentality for diagnosis, careful analysis of imaging material and making many kinds of preparations for procedures before operation can raise the level of clinical diagnosis and treatment.