原发性和继发性脑脓肿手术效果比较

George Fotakopoulos, C. Gatos, K. Paterakis, V. Georgakopoulou, Theodosis Spiliotopoulos, Grigorios Christodoulidis, P. Sklapani, N. Trakas, Adamantios Kalogeras, Kostas N. Fountas
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摘要

脑脓肿(BA)占脑内肿瘤的1%-8%,因此本研究旨在比较原发性和继发性BA患者的手术效果。本回顾性研究对 2013 年 2 月至 2023 年 12 月期间在当地机构接受手术的 32 例 BA 患者进行了研究。所有患者均根据抗菌药物敏感性抗生素图接受了静脉抗生素治疗。共有 32 名患者被分为以下两组:A 组(16 名患者,50%)为原发性脓肿,B 组(16 名患者,50%)为继发性脓肿。在 32 名患者中,23 名(71.8%)为男性,年龄中位数为 55.3 岁。总体而言,本研究表明,如果潜在的病理情况允许功能性结果,往往需要结合多种外科手术和长期抗生素药物治疗的多学科方法可能会改善功能性结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of surgical outcomes between primary and secondary brain abscess
Brain abscess (BA) constitutes 1-8% of intra-cerebral tumors, and thus the present study aimed to compare the surgical outcomes of patients with primary and secondary BA. The present retrospective study examined 32 of cases BA who underwent surgery in a local institution between February, 2013 and December, 2023. All patients received intravenous antibiotic therapy according to the antibiogram for antimicrobial susceptibility. In total, 32 patients were separated into two groups as follows: Group A (16 patients, 50%) with primary abscess and group B (16 patients, 50%) with secondary abscess. Of the 32 patients included in the study, 23 (71.8%) were males, and the median age was 55.3 years. On the whole, the present study demonstrates that a multidisciplinary approach involving a combination of often multiple surgical procedures and prolonged antibiotic medication may improve the functional outcome if the underlying pathology allows for a functional outcome.
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