Itakura T, Yokote H, Ozaki F, Itatani K, Hayashi S, Komai N
Surg Neurol. 1987 Sep;28(3):196-200. doi: 10.1016/0090-3019(87)90133-9.
Stereotactic management of brain abscess (stereotactic aspiration with external drainage) was performed in 14 patients. Fifteen abscesses in 14 patients were successfully aspirated by this method. After aspiration of the abscess, all patients underwent external drainage for an average of 14.5 days. No complications during aspiration or during external drainage (such as bleeding or infection, respectively) were encountered in our series. Ten out of 14 patients (71.4%) showed excellent prognosis, and 3 of 14 (21.4%) showed good outcome. Only one patient died after the operation, but this was due to lung cancer. Our operative results are quite satisfactory in comparison with operative results reported by other authors.
对14例患者实施了脑脓肿的立体定向治疗(立体定向穿刺并外引流)。通过该方法成功穿刺了14例患者的15个脓肿。脓肿穿刺后,所有患者均接受了平均14.5天的外引流。在我们的系列病例中,穿刺或外引流期间均未出现并发症(分别如出血或感染)。14例患者中有10例(71.4%)预后极佳,14例中有3例(21.4%)预后良好。仅1例患者术后死亡,但这是由肺癌所致。与其他作者报道的手术结果相比,我们的手术结果相当令人满意。