论文部分内容阅读
目的对我院入院时诊断为脑肿瘤的11例脑脓肿从临床及鉴别诊断上分析误诊原因,寻找治疗对策。方法回顾我院10年入院病例,对误诊为脑肿瘤的11例患者的临床表现、影像学特点、误诊原因、治疗措施等进行分析,通过手术及病理诊断方法明确诊断。结果 11例患者均行开颅手术,完全摘除脓肿6例,5例切除大部分脓肿壁与脓肿腔引流术。术后1例患者复发,再次给予引流术治疗后治愈,术后进行脓肿液常规细菌培养,其中无细菌生长者9例,金黄色葡萄球菌1例,表皮样葡萄球菌1例。随访患者,1例遗留轻偏瘫,10例均未遗留显著功能障碍。结论详细询问病史及注重临床表现有助于减少脑脓肿误诊为脑肿瘤的发生。
Objective To analyze the causes of misdiagnosis in 11 cases of brain abscess diagnosed as brain tumor at the time of hospital admission and find the treatment countermeasures. Methods The clinical manifestations, imaging features, misdiagnosis causes and treatment measures of 11 patients misdiagnosed as brain tumors were retrospectively analyzed in our hospital for 10 years. The diagnosis was confirmed by operation and pathological diagnosis. Results All the 11 patients underwent craniotomy. Six cases of abscess were completely removed, and most of the abscess wall and abscess drainage were performed in five cases. After operation, one patient relapsed and was cured again after drainage. Conventional bacterial culture of abscess was performed after operation. Among them, 9 patients were free of bacterial growth, 1 was Staphylococcus aureus and 1 was Staphylococcus epidermidis. Follow-up patients, 1 case left hemiparesis, 10 cases were left without significant dysfunction. Conclusions Detailed history and pay attention to clinical manifestations will help reduce the misdiagnosis of brain abscess as a brain tumor.