ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CHỌC HÚT ÁP XE BÁN CẦU ĐẠI NÃO DƯỚI HƯỚNG DẪN ĐỊNH VỊ THẦN KINH TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: To evaluate the outcomes of neuronavigation- guided aspiration surgery in patients with cerebral hemisphere abscess (CHA) at Military Hospital 103. Methods: A descriptive study combining retrospective and prospective analysis was conducted on 34 patients diagnosed with CHA who underwent navigation- guided aspiration surgery from January 2019 to June 2024. Patients were followed up for 3 months postoperatively. Results: The mean abscess cavity diameter and midline shift at discharge were 2.09 ± 2.91 mm and 2.12 ± 0.73 mm, respectively, which were significantly smaller than preoperative values (p = 0.001 and p = 0.01). After 3 months, 55.9% of patients achieved good recovery (GOS grade IV, V). There was a correlation between postoperative recovery (measured by GOS) and preoperative Glasgow Coma Scale (GCS) scores as well as the presence of intraventricular rupture of the abscess. Streptococcus was the most isolated bacterial strain, followed by Staphylococcus and Klebsiella. Conclusion: The abscess cavity diameter and midline shift at discharge were significantly smaller than preoperative values. Preoperative GCS scores and the presence of intraventricular abscess rupture were associated with neurological recovery at 3 months. Streptococcus was the most frequently isolated pathogen.