本文選題：腦膿腫 + 多房性�。� 參考：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：通過多房性腦膿腫(MLPBA)與單房性腦膿腫(ULPBA)對比研究,研討多房性腦膿腫(MLPBA)患者的臨床診療。方法：回顧性分析新疆醫(yī)科大學(xué)第一附屬醫(yī)院神經(jīng)外科2011年1月至2015年1月治療的54例腦膿腫病人的臨床資料,其中多房性腦膿腫15例,單房性腦膿腫39例,數(shù)據(jù)行統(tǒng)計(jì)學(xué)處理分析。結(jié)果：本組研究多房性腦膿腫與單房性腦膿腫所占比例分別為27.8%和72.2%,兩組間性別、年齡、病程、臨床表現(xiàn)、病變部位及感染途徑差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。而是否破入腦室及膿腫體積差異有統(tǒng)計(jì)學(xué)意義(P0.05)。多房性腦膿腫破入腦室概率和細(xì)菌培養(yǎng)陽性率均高于單房性腦膿腫。多房性腦膿腫的穿刺引流復(fù)發(fā)率為6.7%,死亡率為0%。單房性腦膿腫的穿刺引流復(fù)發(fā)率為5.1%,死亡率為2.6%。結(jié)論：多房性腦膿腫首選手術(shù)治療,手術(shù)方式的選擇應(yīng)根據(jù)病人的膿腫大小,膿腫壁的厚薄,是否位于功能區(qū),以及病人的身體狀況決定,預(yù)后良好。
[Abstract]:Objective: to study the clinical diagnosis and treatment of multilocular brain abscess (MLPBA) and single locular brain abscess (LPBA). Methods: the clinical data of 54 patients with brain abscess treated in the first affiliated Hospital of Xinjiang Medical University from January 2011 to January 2015 were retrospectively analyzed, including 15 cases of multilocular brain abscess and 39 cases of unilateral brain abscess. The data were analyzed by statistical analysis. Results: the percentages of multilocular brain abscess and single locus brain abscess were 27.8% and 72.2%, respectively. There was no significant difference in sex, age, course of disease, clinical manifestation, lesion location and infection pathway between the two groups. However, there was a statistically significant difference in the volume of ventriculus and abscess between the two groups (P 0.05). The probability of breaking into the ventricle and the positive rate of bacterial culture of multilocular brain abscess were higher than that of single locular brain abscess. The recurrent rate of puncture and drainage of multilocular brain abscess was 6.7 and the mortality was 0. The recurrent rate of puncture and drainage was 5.1 and the mortality was 2.6%. Conclusion: the first choice of surgical treatment for multilocular brain abscess should be based on the size of abscess, the thickness of abscess wall, whether the abscess is located in the functional area, and the condition of the patient. The prognosis is good.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R651.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 楊軍,張建生,康篤倫,裘明德,韓哲生;腦膿腫147例臨床分析[J];中華神經(jīng)外科雜志;2001年05期

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本文編號：1880353