应用神经内镜治疗儿童多房脑脓肿

叶红星, 袁贤瑞, 刘景平, 沈沉浮

中国当代儿科杂志 ›› 2009, Vol. 11 ›› Issue (01) : 41-43.

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中国当代儿科杂志 ›› 2009, Vol. 11 ›› Issue (01) : 41-43.
临床研究

应用神经内镜治疗儿童多房脑脓肿

  • 叶红星,袁贤瑞,刘景平,沈沉浮
作者信息 +

Neuroendoscopy for treatment of multilocular brain abscess in children

  • YE Hong-Xing, YUAN Xian-Rui, LIU Jing-Ping, SHEN Chen-Fu.
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摘要

目的:神经内镜技术在最近20年取得了重大进步并得到了广泛应用,而儿童多房脑脓肿目前仍是神经外科的急症之一,死亡率和致残率较高。该文通过总结应用神经内镜治疗儿童多房脑脓肿的临床经验,探讨神经内镜技术在手术治疗儿童多房脑脓肿中的作用。方法:2002年1月至2007年6月,该研究应用神经内镜治疗了16例多房脑脓肿的患儿。结果:该组16例患儿术后颅高压症状均缓解, 术后复查头颅CT/MRI示脓肿腔消失,仅存脓肿壁。随访到的14例患儿随访时间为6个月至5年,13例脓肿壁均消失,术后脓肿复发1例。结论:用神经内镜治疗儿童多房脑脓肿具有安全、高效、并发症少的优势。[中国当代儿科杂志,2009,11(1):41-43]

Abstract

OBJECTIVE: Multilocular brain abscess in children is a serious neurosurgical emergency and remains a serious, life-threatening disease. This study evaluated the role of neuroendoscopy in treating multilocular brain abscess in children. METHODS: Between January 2002 and June 2007, 16 children with multilocular brain abscess underwent an operation using a pure endoscopic procedure. RESULTS: Increased intracranial pressure was relieved after operation in the 16 patients. CT/MRI after operation showed the abscess cavities disappeared and only the residual abscess walls existed in the 16 patients. Fourteen patients were followed up for 6 months to 5 years after surgery. Abscess walls disappeared in 13 patients and abscess recurred only in 1 patient. CONCLUSIONS: Neuroendoscopy for treatment of multilocular brain abscess is safe and effective in children.[Chin J Contemp Pediatr, 2009, 11 (1):41-43]

关键词

多房脑脓肿 / 神经内镜 / 儿童

Key words

Multilocular brain abscess / Neuroendoscopy / Child

引用本文

导出引用
叶红星, 袁贤瑞, 刘景平, 沈沉浮. 应用神经内镜治疗儿童多房脑脓肿[J]. 中国当代儿科杂志. 2009, 11(01): 41-43
YE Hong-Xing, YUAN Xian-Rui, LIU Jing-Ping, SHEN Chen-Fu. Neuroendoscopy for treatment of multilocular brain abscess in children[J]. Chinese Journal of Contemporary Pediatrics. 2009, 11(01): 41-43
中图分类号: R616   

参考文献

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