钻孔引流术与去骨瓣减压血肿清除术治疗小脑出血的疗效对比研究  

A contrast study on the curative effect between trepanation and drainage and decompressive craniotomy for treating cerebellar hemorrhage

作　　者：卓杰[1] 刘春生[1] 杨玉山[1] 亢建民[1] 闫华[2] 

机构地区：[1]天津市环湖医院神经外科,300060 [2]天津市环湖医院天津市脑血管与神经变性重点实验室,300060

出　　处：《中国现代神经疾病杂志》2014年第6期535-539,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

摘　　要：共33例出血量≥10ml的小脑出血患者入院后即行脑室外引流术并持续行颅内压监测，发病后7-24h局部麻醉下行钻孔引流术。结果显示，与同期行常规颅后窝血肿清除术患者相比，钻孔引流术组治疗总有效率为81．82％（27／33），优于血肿清除术组的63．64％（21／33），但组间差异无统计学意义（x2=2．750，P=0．097）。Thirty-three cases of hypertensive cerebellar hemorrhage were involved in this survey, with the bleeding volume over 10 ml. All of them were given external ventricular drainage and then taken continuous monitoring of intracranial pressure （ICP） after admission. Within 7-24 h after the onset, they all underwent trepanation and drainage under local anesthesia. In the same period, another 33 cases of cerebellar hemorrhage patients were collected as the control, who met the inclusion criteria and were treated with conventional posterior fossa decompressive craniotomy. As results, the total efficiency of the drilling group was 81.82% （27/33）, which was much better than the control group （63.64%, 21/33）. However, there was no statistical significance between 2 groups （x2= 2.750, P = 0.097）.

关 键 词：颅内出血 高血压性 小脑 引流术 颅骨切开术 

分 类 号：R651.1[医药卫生—外科学]