小脑大面积脑梗死外科手术治疗体会

The surgical experience of treating large area cerebellar infarction

目的分析小脑大面积脑梗死的外科手术治疗方法。方法本文选择了90例小脑大面积脑梗死患者进行研究,将这些患者随机分成3组,A组患者通过脑室穿刺外引流术合并后颅窝开颅单纯外减压术进行治疗,B组患者采用脑室穿刺外引流术和后颅窝开颅内外联合减压术进行治疗,而C组患者则采用后颅窝内外联合减压术进行治疗,对比3组治疗效果。结果对所有患者进行6个月日常生活活动随访计分,A组(43.14±27.96)分;B组(65.40±30.84)分;C组(64.61±28.51)分。A组与其他两组比较,差异有统计学意义(P<0.05),B组和C组差异无统计学意义(P>0.05)。结论后颅窝开颅内外联合减压术是治疗小脑大面积脑梗死的理想方式。

Objective To analyze the surgical method of treating large area cerebellar infarction （LACI）. Methods Ninety patients suffering from LACI were randomly divided into three groups： group A, B, C. In group A, patients were treated with ventriculopuncture drainage combined with joint decompression from both inside and outside of the poste- rior fossa craniotomy; in group B, patients were treated with ventriculopuncture drainage and a simple external decom- pression of the posterior fossa craniotomy; in group C, patients were only given the joint decompression from both in- side and outside of the posterior fossa craniotomy. The therapeutic effects from three groups were compared after a pe- riod of time. Results The activities of daily living scores from all participants within 6-month follow-up were recorded and statistically analyzed. The scores in group A, B and C were （43.14±27.96）, （65.40±30.84） and （64.61±28.51） respec- tively. There was a statistical difference between group A and the other two groups （P 〈 0.05）. But the difference in group B and group C was not statistically significant （P 〉 0.05）. Conclusion In the treatment of LACI, the ventricu- lopuncture drainage combined with joint decompression from both inside and outside of the posterior fossa craniotomy is an optimum method.