小骨窗显微手术治疗高血压性小脑出血疗效分析

The clinical efficacy of small craniotmy in the treatment of hypertensive cerebellar hemorrhage

摘要: 目的：观察小骨窗显微手术治疗高血压性小脑出血的临床疗效。方法：对12例高血压性小脑出血患者采用小骨窗显微手术治疗，观察手术时间、血肿清除情况和治疗效果。结果：手术时间平均1.5 h，血肿全部清除8例，大部分清除4例。术后随访3个月，生存11例，按格拉斯哥预后评分：恢复良好7例，轻度残疾3例，重度残疾1例。结论：小骨窗显微手术具有手术时间短、创伤小、出血少、疗效好等优点，适合高血压性小脑出血的救治。

Abstract: Objective: To observe the clinical efficacy of small craniotomy in the treatment of hypertensive cerebellar hemorrhage.Methods: Twelve patients with hypertensive cerebellar hemorrhage were treated with small craniotomy.The operation time,removing hematoma and treatment effects of all cases were observed.Results: The operation time was 1.5 hour.The hematomas were completely and partly removed in 8 cases and 4 cases.All patients were followed up for 3 months,11 cases survived.Good recovery in 7 cases,slight disability in 3 cases and severe disability in 1 case were found according to the Glasgow prognosis score.Conclusions: The small craniotomy is short operation time,small trauma,little bleeding,and good efficacy,which is a suitable treatment means for hypertensive cerebellar hemorrhage.