Surgical treatment of infant purulent meningitis combining subdural effusion

Abstract

Objective To investigate the choice of operation methods for infant purulent meningitis combining subdural effusion. Methods The clinical data of 170 infants with subdural effusion admitted from June 2000 to June 2012 were analyzed retrospectively. The individualized treatment modalities were selected. Results Of the 30 infants underwent intermittent punctures, 15 (50.0%) were cured; of the 30 infants underwent venous indwelling needle tube drainage, 17 (56.7%) were cured; of the 69 infants underwent minimally invasive drilling drainage, 55 (80%) were cured; of the 30 infants underwent minimally invasive drilling drainage + drug lavage, 19 (63.3%) were cured, and 6 (100%) underwent effusion cyst-peritoneal shunt were cured; of the 5 infants underwent craniotomy, 4 (80.0%) were cured, and 1 died because of invalid treatment of recurrent meningitis. Conclusions Infant purulent meningitis combining subdural effusion should choose individualized treatment program. The effect of minimally invasive drilling and drainage is certainly. When necessary, the effect of drug flushing is better. Refractory cases for effusion cyst-peritoneal shunt and craniotomy can achieve a satisfactory effect. Key words: Purulent meningitis; Subdural effusion; Surgical treatment