高血压小脑出血伴四脑室血肿27例治疗分析

Treatment of 27 patients with hypertensive cerebellar hematoma with fourth ventricle hematoma

目的探讨高血压小脑出血伴四脑室血肿手术治疗时机、方法及疗效。方法对27例小脑出血伴四脑室血肿外科手术治疗的临床资料进行分析。结果本组男17例,女10例,年龄41-79岁。小脑半球出血9例,小脑蚓部出血18例,均破入脑室,其中梗阻性脑积水15例。术后随访半年到3年恢复良好9例;中残11例;重残2例;死亡5例。结论及时清除小脑和第四脑室出血对脑干的压迫,防止脑干功能进一步恶化,将有助于改善其生存质量。

Objective To investigate the time, method and therapeutic effect of surgery on cerebellum hemorrhage with fourth ventricle hematoma. Methods 27 patients with hypertensive cerebellar hematoma and fourth ventricle hematoma were retrospectively analyzed. Results There were 17 male and 10 female patients, with age between 41 and 79 years. There were 9 patients with ccrebellar hemisphere hemorrhage and 18 with vermis cerebellum. Obstructive hydrocephalus was found in 15 patients. Followed-up from 3 months to 3 years, 9 patients was good recovery, 11 moderate disability, 2 severe disability, and 5 death. Conclusion Prompt evacuation of cerebellar and intraventricular hematoma can relief brain stem compression and prevent function deteriorating, which might improve patients＇outcome.