CAJ | 학술논문

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。
목적：관찰소골창현미수술치료고혈압성소뇌출혈적림상료효。방법：대12례고혈압성소뇌출혈환자채용소골창현미수술치료,관찰수술시간、혈종청제정황화치료효과。결과：수술시간평균1.5 h,혈종전부청제8례,대부분청제4례。술후수방3개월,생존11례,안격랍사가예후평분：회복량호7례,경도잔질3례,중도잔질1례。결론：소골창현미수술구유수술시간단、창상소、출혈소、료효호등우점,괄합고혈압성소뇌출혈적구치。
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.