摘要
目的探究高血压性小脑出血采取后颅窝小骨开颅显微手术治疗效果。方法抽取本院2017年1月—2018年12月收入高血压性小脑出血患者总计36例,按照随机数字表法分为两组各18例,对照组接受传统开颅手术,观察组接受后颅窝小骨窗开颅显微手术,比较两组手术结果。结果观察组手术出血量、手术时间及平均住院时间短于对照组,两组差异有统计学意义(P<0.05),两组术后6个月患者ADL分级情况中差异无统计学意义(P>0.05)。结论高血压性小脑出血患者,采取后颅窝小骨窗开颅显微手术能缩短术式出血量及手术时间,缩短住院时间,对患者损伤程度偏小,适用于临床。
Objective To study the therapeutic effect of small bone window craniotomy microsurgery of posterior cranial fossa in hypertensive cerebellar hemorrhage.Methods A total of 36 hypertensive cerebellar hemorrhage patients treated from January 2017 to December 2018 in our hospital were selected and randomly assigned to two groups,18 cases in each group.The conventional craniotomy was performed in the control group;small bone window craniotomy microsurgery of posterior cranial fossa was performed in the observation group.The operation results were probed.Results Compared with control group,the intraoperative bleeding volume,operation time and average hospitalization time in the observation group was significantly reduced,the difference was statistically significant(P<0.05);after 6 months of surgery,the difference of ADL(activity of daily living)grades between two groups was not statistically significant(P>0.05).Conclusion In patients with hypertensive cerebellar hemorrhage,microsurgical surgery of the posterior cranial fossa small bone window can shorten the amount of bleeding and operation time,shorten the length of hospitalization,and reduce the degree of injury to the patient,which is suitable for clinical use.
作者
宋近林
SONG Jinlin(Deparmtent of Neurosurgery,Mengzi People’s Hospital,Mengzi Yunnan 661100,China)
出处
《中国卫生标准管理》
2020年第12期63-65,共3页
China Health Standard Management
关键词
高血压性小脑出血
后颅窝小骨窗开颅显微手术
治疗
微创
损伤
出血量
hypertensive cerebellar hemorrhage
small bone window craniotomy microsurgery of posterior cranial fossa
therapy
minimally invasive
injury
hemorrhage volume
