Cengiz ÇOKLUK, Alpaslan ŞENEL, Ömer İYİGÜN, Mustafa ARAS, ARİF ÖNDER, Cemil RAKUNT, Fahrettin ÇELİK

Beyin apselerinin cerrahi tedavisinde intraoperatif ultrasonografi kullanılması

Bu prospektif klinik çalışmanın temel amacı beyin apselerinin cerrahi tedavisi sırasına İntraoperatif ultrasonografi (IOUSG) kullanılmasının apsenin kraniyotomi flebine göre Iokalizasyonu ve beyin yüzeyine olan derinliğinin anlaşılmasındaki yararlarını araştırmaktır. Bu çalışmada 9 adet pediyatrik ve erişkin yaş grubu beyin apsesi incelendi. Olguları %44'ünde apse temporal lopta lokalizeydi. Birinci ultrasonografik incelemeden sonra beyin apsesi ponksiyonu ve aspirasyonu yapıldı. Olguların %29'unda sadece ponksiyon ve aspirasyon yeterli oldu, geri kalan olgularda te daviye kapsül rezeksiyonu da eklendi. Bu çalışmanın sonucunda İntraoperatifrgörüntü destekli uygulamanın beyin apselerinin cerrahi tedavisi sırasında kullanılmasının cerrahi girişimin etkinliği ve başarısını artıracak bir tetkik yöntemi olduğunu kanısına varılmıştır.

Anahtar Kelimeler:

Beyin apsesi, İleriye dönük çalışma, Ultrasonografi, İzleme, ameliyat sırasında, Cerrahi işlemler, operatif

The use of intraoperative ultrasonography in the surgical treatment of brain abcess

The main purpose of this prospective clinical study was to evaluate the benefits of intraoperative ultrasonography in the localisation of brain abscess and its depth from the brain surface during the neurosurgical treatment. 9 pédiatrie and adult cases were evaluated in this study. 44% brain abscesses were localised in the temporal area. After the first ultrasonographic examination, brain abscesses were aspirated.. 29% cases were treated with aspiration, and the remaining cases were treated with aspiration and capsule resection respectively. We concluded that the use of intraoperative ultrasonographic examination can enhance the efficacy and success of the surgical treatment in the patients with brain abscesses.

Keywords:

Brain Abscess, Prospective Studies, Ultrasonography, Monitoring, Intraoperative, Surgical Procedures, Operative,

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