Zderkiewicz E, Czochra M, Koźniewska H, Slezak M, Gawlik G
Neurol Neurochir Pol. 1979 Jan-Feb;13(1):59-64.
In the light of own experience with 50 patients with brain abscesses and a survey of the literature the authors discuss the values of the surgical methods of treatment in this disease. When the radical methods are used the mortality is lowest and the incidence of recurrent abscesses is lowest, but of this treatment is likely to produce considerable neurological deficit it is better to apply conservative methods, such as puncture and drainage of the abscess. The sparing operation as a method of choice may be the first stage of treatment before radical operation in acute abscess and in patients in serious clinical condition.
根据作者自身对50例脑脓肿患者的治疗经验以及对文献的调研,探讨了本病外科治疗方法的价值。采用根治性方法时,死亡率最低,复发性脓肿的发生率也最低,但如果这种治疗可能会导致相当严重的神经功能缺损,那么采用保守方法,如脓肿穿刺引流,可能会更好。在急性脓肿以及临床病情严重的患者中,保留性手术作为首选方法可能是根治性手术前治疗的第一阶段。