摘要
目的研究小骨窗开颅显微手术在治疗小脑血肿方面的应用。方法对52例经小骨窗开颅显微手术治疗的小脑血肿临床资料进行回顾性分析。结果生存质量评估按ADL分级:I级25例;Ⅱ级14例;Ⅲ级9;Ⅳ级2例;Ⅴ级0例;52例患者中死亡4例,死亡率7.7%。结论小骨窗开颅显微手术清除小脑血肿效果良好,与标准枕下骨窗开颅血肿清除术相比创伤较小,手术时间短,并发症较少,是一种可靠的手术方法。
Objective To explore the application of microsurgical treatment for eerebellar hemorrhage by small cranioto my. Methods A retrospective analysis was made on the clinical data of 52 cases of cerebellar hemorrhage who were treated with small craniotomy. Results We used ADL for the estimate reference standard. 4 cases dead after surgery, the case fatality is 7.7% ;25 cases well recovered, 14 cases were partly provided for themselves, 9 cases unable provide themselves,2 cases were only conscious, none of patients was in vegetative state. Conclusion This operation is a effec tive treatment for eliminate cerebellar hemorrhage, it have less surgery trauma,less complications and shorter operative time when compare with conventional suboccipital approach craniotomy.
出处
《医药论坛杂志》
2013年第7期1-3,共3页
Journal of Medical Forum
关键词
小骨窗开颅
显微手术
小脑血肿
Small craniotomy
Microsurgery
Cerebellar hemorrhage
