CAJ | 학술논문

目的：探讨小脑出血的手术适应证和手术方法。方法回顾性分析手术治疗46例自发小脑出血患者的临床资料及手术方式。结果46例患者，死亡4例；术后6个月随访，（ADL）分级法：Ⅰ级17例，Ⅱ级10例，Ⅲ级9例，Ⅳ级4例，Ⅴ级2例。结论自发性小脑出血的患者，根据病情轻重，颅脑 CT 表现，选择不同的手术方式，及时手术治疗可以取得良好的治疗效果。
목적：탐토소뇌출혈적수술괄응증화수술방법。방법회고성분석수술치료46례자발소뇌출혈환자적림상자료급수술방식。결과46례환자，사망4례；술후6개월수방，（ADL）분급법：Ⅰ급17례，Ⅱ급10례，Ⅲ급9례，Ⅳ급4례，Ⅴ급2례。결론자발성소뇌출혈적환자，근거병정경중，로뇌 CT 표현，선택불동적수술방식，급시수술치료가이취득량호적치료효과。
Objective To evaluate the surgical indications and treatment of spontaneous cerebellar hemor-rhage.Methods The clinical data and surgical methods of 46 patients with spontaneous cerebellar hemorrhage were retrospectively analyzed.Results Follow up 6 months,4 cases were dead.Outcomes were assessed by the ADL:17 cases wereⅠ,10 cases were Ⅱ,9 cases were Ⅲ,4 cases were Ⅳ,2 cases were Ⅴ.Conclusion The surgical way should be selected according to degree of patients,conditions severity and CT imaging of hemorrhage in the patients with spontaneous cerebellar hemorrhage.The curative of timely proper surgery on the patients with spontaneous cerebellar hemorrhages is good.