[1]王兴铧,姬传林,杜嘉庚.微创软通道手术治疗高血压性小脑出血的临床分析[J].卒中与神经疾病杂志,2017,24(01):27-29+41.[doi:10.3969/j.issn.1007-0478.2017.01.007]
　Wang Xinghua,Ji Chuanlin,Du Jiageng..Clinical analysis of minimally invasive surgical treatment of hypertensive cerebellar hemorrhage[J].Stroke and Nervous Diseases,2017,24(01):27-29+41.[doi:10.3969/j.issn.1007-0478.2017.01.007]
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微创软通道手术治疗高血压性小脑出血的临床分析()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第24卷
期数:
2017年01期
页码:
27-29+41
栏目:
论 著
出版日期:
2017-02-26

文章信息/Info

Title:
Clinical analysis of minimally invasive surgical treatment of hypertensive cerebellar hemorrhage
文章编号:
1007-0478(2017)01-0027-04
作者:
王兴铧; 姬传林; 杜嘉庚
250031 山东省医学科学院附属医院神经外科
Author(s):
Wang Xinghua; Ji Chuanlin; Du Jiageng.
Department of Neurosurgery,Affiliated Hospital of Shandong Academy of Medical Sciences,Jinan 250031
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
Keywords:
Cerebellar hemorrhage Hypertensive cerebral hemorrhage Drainage Hematoma evacuation Craniotomy
分类号:
R743.34
DOI:
10.3969/j.issn.1007-0478.2017.01.007
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。
Abstract:
ObjectiveTo explore the treatment effect of minimally invasive soft channel catheter drainage 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,effective and convenient treatment method for a moderate amount of cerebellar hemorrhage.

参考文献/References:

[1] Chang CY,Lin CY,Chen LC,et al.The predictor of mortality withinsix-months in patients with spontaneous cerebellar hemorrhage:A retrospectivestudy[J].PLoS One,2015,10(7):e0132975.
[2] Dahdaleh NS,Dlouhy BJ,Viljoen SV,et al.Clinical and radiographic predictors of neurological outcome following posterior fossa decompression for spontaneous cerebellar hemorrhage[J].J Clin Neurosci,2012,19(9):1236-1241.
[3] Datar S,Rabinstein AA.Cerebellar hemorrhage[J].Neurol Clin,2014,32(4):993-1007.
[4] Goldstein J,Gilson A.Criticlal care management of acute IntracerebralHemorrhage[J].Curr Treat Options Neurol,2011,13(2):204-216.
[5] Benders MJ,Kersbergen KJ,De Vries LS.Neuroimaging of white matter injury,intraventricular and cerebellar hemorrhage[J].Clin Perinatol,2014,41(1):69-82.
[6] Morgenstern L,Hemphill J,Anderson C,et al.Guidelinesfor the management of spontaneous intracerebral hemorrhage:a guideline for healthcare professionals from the AHA/ASA[J].Stroke,2010,41:2108-2129.
[7] Witsch J,Neugebauer H,Zweckberger K,et al.Primary cerebellar haemorrhage:complications,treatment and outcome[J].Clin Neurol Neurosurg,2013,115(7):863-869.
[8] Tokimura H,Tajitsu K,Taniguchi A,et al.Efficacy andsafety of key hole craniotomy for the evacuation of spontaneouscerebellar hemorrhage[J].Neurol Med Chir(Tokyo),2010,50(5):367-372.
[9] Zhang J,Wang L,Xiong Z,et al.A treatment option forsevere cerebellar hemorrhage with ventricular extension inelderly patients:intraventricular fibrinolysis[J].J Neurol,2014,261(2):324-329.
[10] 吴春富,陆华,朱爱华,等.自制神经内镜辅助器械治疗高血压性脑室出血[J].中华神经医学杂志,2011,10(3):308-310.
[11] 李罡,苏治国,颜荣,等.经胼胝体入路显微镜下血肿清除术治疗脑室出血的疗效观察[J].山东医药,2015,55(4):48-50.

更新日期/Last Update: 2017-02-20