脑脓肿的微创手术治疗

目的：分析脑脓肿的手术疗效，探讨脑脓肿的微创外科治疗方法。方法：根据术前评估和术中情况选择（1）脓肿抽吸和（或）引流；（2）脓肿完整切除或脓壁切开＋刮除脓苔＋脓壁全部／部分切除。结果：手术死亡率为4．76%（3／63）。无1例因脓壁切开手术引起感染扩散，所有患者术后CT复查显示病变均有不同程度地缩小和消失。45例获得随访术后神经功能良好。结论：脓壁切开十刮除脓苔＋脓壁全部／部分切除的方法能有效保留神经功能，符合微创手术理念。

The Surgical Therapy of Brain Abscesses with Minimally Invasive Technique

Objective: To analyze the surgical effect on brain abscess and to investigate the role of minim/illy invasive procedures during brain abscess surgery. Method: According to preoperative evaluation and intraoperative conditions, we select (1) aspiration and/or drainge of brain abscess; (2) complete removal of lesion, or abscess incision combined with pyogenic moss curettage and abscess wall resection. Results: Overall morality was 4. 76% (3/63) in this scries. No patients experienced infection spread after abscess incision. The abscesses disappeared or shrieked with various degrees on postoperative CT scanning. 45 patients showed neurological improvement in following study. Conclusion:It is effective to preserve the neurological function by performing abscess incision combined with pyogenie moss curettage and pyogenic wall resection, as well as in accordance with the concept of minimally invasive neuro.surgery.