高场强MR引导下精准穿刺抽吸治疗多房性脑脓肿  

High field MR-guided precise puncture aspiration for treatment of multilocular brain abscess

作　　者：李培培 柳明[2] 许玉军[2] 何祥萌[2] 鄢行畅 李成利[2] LI Peipei;LIU Ming;XU Yujun;HE Xiangmeng;YAN Xingchang;LI Chengli(Department of Oncology, Liaocheng Cancer Hospital, Liaocheng 252000, China;Department of Interventional MRI, Shandong Medical Imaging Research Institute, Shandong University, Jinan 250021, China)

机构地区：[1]聊城市肿瘤防治院肿瘤科,山东聊城252000 [2]山东大学附属山东省医学影像学研究所磁共振介入科,山东济南250021

出　　处：《中国介入影像与治疗学》2020年第5期262-265,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察高场强MR引导下经皮精准穿刺抽吸治疗多房性脑脓肿的有效性及安全性。方法回顾性分析9例接受1.0T高场强MR引导经皮穿刺抽吸治疗的多房性脑脓肿患者,记录手术时间、并发症及随访结果。结果对9例共接受25次高场强MR引导下脓腔穿刺抽吸,其中2例行2次、7例行3次穿刺抽吸,技术成功率100%(25/25);手术时间40~100 min,平均75 min。抽吸脓液细菌培养8例呈阳性。1例术中出现少量硬膜下出血,无严重并发症。术后随访6个月,症状均显著好转;影像学随访显示脓腔皆完闭塞或肉芽肿形成,有效率100%(9/9)。结论高场强MR引导下经皮精准穿刺抽吸治疗多房性脑脓肿安全、有效。Objective To evaluate the efficacy and safety of high field MR-guided percutaneous precise puncture aspiration in treatment of multilocular brain abscess.Methods Clinical data of 9 patients with multilocular brain abscess treated with high field 1.0T MR-guided percutaneous precise puncture aspiration were retrospectively analyzed.The operation time,complication and follow-up results were recorded.Results Nine patients with multilocular brain abscess underwent 25 times of high field MR-guided puncture and aspiration therapy,among them 2 patients underwent 2 times and 7 cases underwent 3 times aspiration,and the technique success rate 100%(25/25).The operation time was 40-100 min,with an average of 75 min.All sucked pus was cultured with bacteria,and positive results were obtained in 8 patients.A small amount of subdural hemorrhage occurred in 1 patient,but no serious complication occurred.The symptoms were significantly improved in 9 patients during 6 months'postoperative follow-up,while imaging follow-up results showed subsided or granuloma formed in abscess cavities of all 9 cases,with an effective rate of 100%(25/25).Conclusion High field open MR-guided percutaneous precise puncture aspiration is safe and effective for treatment of multilocular brain abscess.

关 键 词：脑脓肿 磁共振成像 活组织检查 

分 类 号：R742.7[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]