CAJ | 학술논문

目的探讨不同手术方式治疗小脑出血的临床疗效.方法入选我院2010年至2012年采用手术治疗的62例自发性小脑出血患者,随机分为观察组和对照组各31例,观察组予以颅后窝开颅血肿清除术,对照组予以小脑减压术疗法,比较两组的临床效果及术后并发情况.结果观察组的临床总有效率显著高于对照组(87.10％ vs.61.29％);观察组术后出现颅内感染2例(6.45％),切口感染1例(3.23％),未见脑脊液漏、皮下积液或假性囊肿等严重并发症,显著优于对照组(P＜0.05).结论自发性小脑出血患者予以颅后窝开颅血肿清除术,临床效果确切,并发症少,尽早手术治疗有利于提高疗效和改善预后.
목적 탐토불동수술방식치료소뇌출혈적림상료효.방법 입선아원2010년지2012년채용수술치료적62례자발성소뇌출혈환자,수궤분위관찰조화대조조각31례,관찰조여이로후와개로혈종청제술,대조조여이소뇌감압술요법,비교량조적림상효과급술후병발정황.결과 관찰조적림상총유효솔현저고우대조조(87.10％ vs.61.29％);관찰조술후출현로내감염2례(6.45％),절구감염1례(3.23％),미견뇌척액루、피하적액혹가성낭종등엄중병발증,현저우우대조조(P＜0.05).결론 자발성소뇌출혈환자여이로후와개로혈종청제술,림상효과학절,병발증소,진조수술치료유리우제고료효화개선예후.
Objective To discuss the clinical effect of different surgical methods for treatment of cerebellar hemorrhage.Methods 62 patients with spontaneous cerebellar hemorrhage were randomly divided into 2 groups with 31 cases in each group.Observation group was given posterior fossa hematoma evacuation,while control group was given cerebellar decompression.Clinical effect and postoperative complications of the 2 groups were compared.Results Clinical effective rate of observation group was obviously higher than that of control group (87.10％ vs 61.29％); 2 cases (6.45％) of intracranial infection and 1 case (3.23％) of incision infection occurred in observation group and no severe complications like leakage of cerebrospinal fluid,subcutaneous hydrops and false cyst were found in observation group (compared with control group,P ＜ 0.05).Conclusion Posterior fossa hematoma evacuation for treatment of spontaneous cerebellar hemorrhage has accurate clinical effect and few complications.Early surgical treatment can improve clinical effect and prognosis.