小骨瓣开颅血肿清除术治疗高血压性小脑出血临床疗效观察  

Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination

作　　者：侯前亮 牛俊 王金增 刘长青[2] Hou Qianliang;Niu Jun;Wang Jinzeng;Liu Changqing(Department of Neurosurgery,Central Hospital of Jiaozuo Coal Industry(Group)Co.Ltd.;Department of Neurosurgery,Sanbo Brain Hospital Capital Medical University)

机构地区：[1]焦作煤业(集团)有限责任公司中央医院神经外科,焦作454102 [2]首都医科大学三博脑科医院神经外科,北京100080

出　　处：《重庆医科大学学报》2021年第5期560-563,共4页Journal of Chongqing Medical University

摘　　要：目的:探讨小骨瓣开颅血肿清除术治疗高血压性小脑出血的临床疗效。方法:回顾性分析23例急诊小骨瓣开颅血肿清除术治疗高血压性小脑出血患者的临床资料,依据患者术后复查CT及术后1个月、3个月随访的GOS评价手术疗效。结果:本组均在术后24 h内复查头部CT,其中完全清除血肿22例,部分清除血肿1例(血肿残余量<10%),术后1个月GOS:5分20人,4分3人;术后3个月GOS:5分22人,4分1人。结论:高血压性小脑出血的"小骨瓣开颅血肿清除术"具有创伤小、手术时间短、并发症少、术后患者恢复快、愈后好等特点,值得推广应用。Objective:To investigate the clinical efficacy of small bone flap craniotomy for hematoma elimination in the treatment of hypertensive cerebellar hemorrhage.Methods:The clinical data of 23 patients with hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination was retrospectively analyzed.CT scan were reexamined after operation based on the individual condition and GOS(Glasgow outcome scale)scores of 1 month and 3 months follow-up after operation.Results:CT scan was performed in all patients within 24 hours after operation.Among them,22 cases of hematoma were completely eliminated and 1 case was mostly eliminated(residual volume of hematoma<10%).One month after operation,20 cases had GOS score of 5 points,3 cases had 4 points.Routine follow-up of 3 months after operation,22 cases had GOS score 5 points and 1 case had 4 points.Conclusion:The"small bone flap hematoma craniotomy for hematoma elimination"in the treatment of hypertensive cerebellar hemorrhage has the advantages of less trauma,short operation time,less complications,quick recovery and optimistic prognosis,which is worthy of promotion and application in hospitals with mature microscopic technology.

关 键 词：小脑出血 小骨瓣 开颅手术 血肿清除术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]