脑实质内小病灶的临床治疗(附43例报告)

The treatment of small brain lesion （report of 43 cases）

目的 探讨采用不同方法治疗脑实质内小型病变的效果。 方法 分别采用抗炎、抗癫痫治疗及小骨瓣开颅计算机体层摄影（CT）引导直视下摘除病灶。 结果 保守治疗26例，13例痊愈，4例好转，9例转入外科手术；直接手术17例，经保守治疗未愈再手术9例，共26例病人均痊愈。 结论 对于病程较短的炎性病灶及环壁较薄的微小脑脓肿，保守治疗易取得疗效；对于非炎性病变及病程较长，环壁较厚之微小脑脓肿手术疗效满意。

Objective To evaluate the effects of different treatment of the small brain lesions． Method Antibiotics, anticonvulsants and craniotomy with small bone flap were used to treat these lesions． Result 26 of 43 patients were treated with conservative treatment, 13 of 26 were cured, 4 were good, 9 of 26 were transmitted to operate． 17 of 43 patients were operated on directly． All the patients treated with surgery were cured． Conclusion Conservative therapy was fit for the patients who had a short－duration, thin－circle in CT scanning small brain absess or inflammatory lesions． And for the long duration, thick－circle small brain abscess or non－inflammatory diseases, the surgical operation is better．