显微手术与脑室外引流治疗小脑出血的对比研究

The study between microsurgery and ventricular drainage treatment in cerebellar hemorrhage

目的探讨显微手术治疗与脑室外引流治疗小脑出血的临床疗效。方法选取136例小脑出血患者,分为治疗组和对照组,每组68例。对照组给予脑室外引流治疗,治疗组采用显微手术治疗,比较两组患者斯堪的纳维亚卒中量表(SSS)评分、格拉斯哥昏迷量表(GCS)评分及临床疗效。结果治疗组术后SSS评分、GCS评分均明显高于对照组,两组比较差异有显著性(P<0.05)。对照组治疗总有效率为52.9%,治疗组总有效率为76.5%,治疗组疗效明显优于对照组,两组比较差异有显著性(P<0.05)。结论显微手术治疗小脑出血疗效优于单纯脑室外引流,可明显提高患者生存质量,降低病死率。

Objective To evaluate the clinical efficacy of microsurgery and ventricular drainage treatment in cerebellar hemorrhage.Methods 136 patients of cerebellar hemorrhage were randomly divided into two groups,each group 68 cases. Microsurgery was used in treatment group and ventricular drainage alone was used in control group. The clinical efficacy,scandinavian stroke scale score and glasgow coma scale score after operation were compared between the two groups. Results The score of scandinavian stroke scale and glasgow coma scale of treatment group were significantly higher than control group. The difference was statistically significant（ P〈0. 05）. The efficiency of clinical treatment was 76.5% in treatment group,respectively,as compared with those of 52. 9% in control group,showed significant differences between the two groups（P〈0. 05）. Conclusion Microsurgical treatment with cerebellar hemorrhage curative effect is superior to the simple ventricular drainage,can obviously improve the quality of survival,reduce mortality.