手术治疗34例小脑自发性出血疗效探讨  

Analysis of surgical treatment of the 34 spontaneous cerebellar hemorrhage

作　　者：黄志刚[1] 魏剑波[1] 李冬华[1] 李密[1] 

机构地区：[1]四川省攀枝花市中心医院神经外科,四川攀枝花617000

出　　处：《四川生理科学杂志》2016年第1期23-25,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:探讨外科手术治疗小脑自发性出血的治疗方法和效果。方法:对2010年3月至2012年3月收治的34例手术小脑出血患者进行回顾性分析,主要描述其治疗方法和效果。结果:22例患者行开颅血肿清除及去骨瓣减压术,其中恢复良好16例,重残2例,植物生存1例,死亡3例。采用CT引导立体定向血肿穿刺引流术6例,其中恢复良好4例,重残1例,死亡1例。采用单纯脑室外引流6例,其中恢复良好5例,重残1例。结论:对自发性小脑出血患者,要根据病情轻重、头颅CT表现等各方面,选择不同的手术方式;及时手术治疗,旨在取得良好的治疗效果,尽可能减少死亡率和重残率。Objective：To investigate the treatment method and effects of surgical treatment on spontaneous cerebellar hemorrhage.Methods：A retrospective analysis was performed on 34 patients with cerebellar hemorrhage from March 2010 to March 2012 in our hospital.The treatment method and effect were described.Results：Twenty-two patients underwent craniotomy hematoma removal and bone flap decompression,which recovered well in 16 cases,severe disability in 2cases,1cases of plant survival,3cases of death.CT guided stereotactic hematoma aspiration was performed in 6cases,including 4cases of good recovery,1cases of severe disability,1cases of death.6cases were treated with external ventricular drainage,5cases recovered well and 1case was severe disability.Conclusion：Patients with spontaneous cerebellar hemorrhage were treated by different surgical approach according to the severity of the disease,CT performance and other aspects,surgical treatment in time,to achieve good results,as far as possible to reduce mortality and severe disability rate.

关 键 词：小脑出血 手术 治疗 

分 类 号：R651.1[医药卫生—外科学]