Maurice-Williams R S
Royal Free Hospital and School of Medicine, London, England.
Br J Neurosurg. 1987;1(3):343-51. doi: 10.3109/02688698709023776.
Twenty-seven of 29 consecutive patients with brain abscess were treated by 'open evacuation of pus'. This technique involves wide exposure of the brain so that the abscess capsule may be incised and cleared of pus under direct vision. The empty capsule is left in situ after antibiotic irrigation and the wound is closed without drainage. Of the 27 patients, one died (3.7%), two were partly disabled and 24 (88.9%) were left with no neurological disability caused by the abscess. In only one case was a further operation required to remove pus which had reformed after an adequate primary clearance. There were no cases of wound sepsis or of late recurrence of the abscess. The author believes that 'open evacuation of pus' is the most satisfactory surgical technique for an intracerebral abscess.
29例连续的脑脓肿患者中有27例接受了“脓肿切开引流术”治疗。该技术需要广泛暴露脑组织，以便在直视下切开脓肿包膜并清除脓液。抗生素冲洗后将空的脓肿包膜留在原位，伤口不放置引流管直接缝合。27例患者中，1例死亡（3.7%），2例有部分残疾，24例（88.9%）未遗留由脓肿导致的神经功能残疾。仅1例在初次充分清除脓液后因脓液再次形成而需要再次手术。没有伤口感染或脓肿晚期复发的病例。作者认为“脓肿切开引流术”是治疗脑内脓肿最令人满意的手术技术。
