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中华临床医师杂志(电子版) ›› 2026, Vol. 20 ›› Issue (04) : 327 -331. doi: 10.3877/cma.j.issn.1674-0785.2026.04.010

综述

脑脓肿的临床诊治进展
齐洪武(), 徐泽雨   
  1. 050082 河北石家庄,中国人民解放军联勤保障部队第九八〇医院神经外科
  • 收稿日期:2026-02-18 出版日期:2026-04-30
  • 通信作者: 齐洪武
  • 基金资助:
    河北省医学科学研究课题计划资助(20200240)

Advances in clinical diagnosis and treatment of brain abscess

Hongwu Qi(), Zeyu Xv   

  1. Department of Neurosurgery, The 980th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Shijiazhuang 050082, China
  • Received:2026-02-18 Published:2026-04-30
  • Corresponding author: Hongwu Qi
引用本文:

齐洪武, 徐泽雨. 脑脓肿的临床诊治进展[J/OL]. 中华临床医师杂志(电子版), 2026, 20(04): 327-331.

Hongwu Qi, Zeyu Xv. Advances in clinical diagnosis and treatment of brain abscess[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2026, 20(04): 327-331.

脑脓肿是一种颅内局限性化脓性感染,发病率低但病情凶险,致死与致残率高。CT、MRI及分子病原学检测的普及推动了其诊断模式的革命性变化,但临床管理仍面临流行病学特征变迁、远期功能预后欠佳等挑战。作为一种复杂的临床综合征,脑脓肿的治疗策略需根据病原学特征、宿主免疫状态及患者个体差异,采取多学科协作、微创神经外科及靶向抗菌策略相结合的综合干预措施。随着影像学与分子诊断技术的不断进步及个体化治疗理念的深入,脑脓肿的诊断和治疗水平有望进一步提升,从而降低患者病死率并改善远期预后。本文旨在从脑脓肿的流行病学特征、诊断技术、治疗策略及长期预后管理的研究进展进行系统综述。

Brain abscess is a localized suppurative infection within the cranial cavity. Although its incidence is low, it is a critical condition associated with high mortality and disability rates. The widespread application of CT, MRI, and molecular pathogen detection has revolutionized its diagnostic paradigm, Nevertheless,, clinical management still faces challenges such as shifting epidemiological characteristics and poor long-term functional outcomes. As a complex clinical syndrome, the treatment strategy for brain abscess should be tailored to pathogen characteristics, host immune status, and individual patient differences, adopting a comprehensive intervention approach that integrates multidisciplinary collaboration, minimally invasive neurosurgery, and targeted antimicrobial strategies. With continuous advances in imaging and molecular diagnostic technologies, along with the deepening adoption of individualized treatment concepts, the diagnosis and treatment of brain abscess are expected to further improve, thereby reducing mortality and improving long-term prognosis. This article aims to provide a systematic review of research progress on the epidemiology, diagnostic techniques, treatment strategies, and long-term prognostic management of brain abscess.

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