颅内单发小脑脓肿的手术治疗

Surgical Resection of Single Brain Abscess

目的:报告30例颅内单发的小脓肿手术治疗的疗效。方法:均在直视下完成脓肿全部切除,在出院后坚持服用抗癫（?）药物1年以上。结果:随访时间为18～40个月,除1例因术后脑水肿使患者的神经功能状态恶化外,余29例患者的神经功能状态均保持了术前的状态或好转。23例患者获得连续CT检查,结果脑脓肿病灶全部消失,其中19例病灶周围低密度影像在6个月内消失。结论:颅内单发小脑脓肿的手术治疗效果良好,术后继续使用抗生素和抗癫（?）药物殊属必要。

Objective: To introduce the clinical results of surgical resection of single brain abscess in 30 cases. Methods: All the le-sions were resected under direct vision, and followed by anti-epileptic medication at least one year. Results: The follow-up period ranged from 18 to 40 months. The neurological status improved or remained stable in all cases except one with clinical deterioration due to brain edema after operation. Based on serial follow-up CT studies in 23 cases, the total resections were achieved in all groups. Conclusion: Surgical resection can provide satisfactory result for single brain abscess. It is essential to continue antibiotics and anti-epileptic therapy after surgery.