摘要
目的探讨微创软通道置管引流术治疗中等量高血压性小脑出血的效果。方法选取中等量小脑出血(出血量10~20 mL)患者作为研究对象,对61例中等量小脑血肿患者分为微创软通道置管引流组(n=33)和小骨窗开颅组(n=28),比较2组近期(治疗后3周)和远期(治疗后6个月)格拉斯哥预后评分(GOS)、日常生活能力Barthel评分(BI)等指标以及并发症发生率。结果软通道置管引流组和小骨窗开颅组近期及远期疗效均无显著差异(P>0.05),但后者颅内感染、肺部感染等并发症发生率以及手术时间和平均住院时间明显高于前者(P<0.05)。结论对于中等量小脑出血(10~20 mL)患者微创软通道置管引流术是一种安全而有效、简便快捷的治疗方法。
Objective To explore the treatment effect of minimally invasive soft channel catheter drain- age in patients with a moderate amount of hypertensive cerebellar hemorrhage. Methods The patients with a moderate amount of cerebellar hemorrhage （10-20 ml） were selected as subjects in this study,divided into soft channel drainage group （n = 33） and small bone window craniotomy group （n = 28）. The hematomas volume ranged from 10 to 20 ml in the 61 cases. The complication rate,Glasgow prognostic score （GOS） and Barthel index （BI） in the short term（3 weeks after treatment） and the long term（6 months after treatment） of two groups were analyzed. Results There was no significant difference in the short-term and in the long-term effect between the soft channel drainage group and the small bone window craniotomy group（P〉0. 05）. But the rate of complication such as intracranial infection and pulmonary infection, operation time and the average length of stay in hospital in the small bone window caniotomy group were significantly higher than those in the soft channel drainage group （P〈0. 05）. Conclusion Minimally invasive soft channel catheter drainage is a safe, ef- fective and convenient treatment method for a moderate amount of cerebellar hemorrhage.
作者
王兴铧
姬传林
杜嘉庚
Wang Xin- ghua Ji Chuanlin Du Jiageng.(Department of Neurosurgery , Affiliated Hospital of Shandong Academy of Medical Sciences , Jinan 250031)
出处
《卒中与神经疾病》
2017年第1期27-29,41,共4页
Stroke and Nervous Diseases
关键词
小脑出血
高血压性脑出血
引流术
血肿清除术
开颅手术
Cerebellar hemorrhage Hypertensive cerebral hemorrhage Drainage Hematoma evacu- ation Craniotomy
