脑干出血的显微外科治疗体会

Experience of microsurgical in treatment of brainstem hemorrhage

目的探讨脑干出血后采用显微外科治疗的临床效果。方法 回顾性分析山西大医院神经外科2012年3月-2016年4月收治的40例脑干出血患者的临床资料及随访结果 。随访3个月,按照Barthel指数（BI）评估预后。结果 40例患者中预后良好15例,中度功能障碍7例,重度功能障碍3例,死亡15例。行显微手术治疗8例,2例死亡,6例存活,其中4例预后良好。结论 脑干出血病情重,致残致死率高,预后差;对部分特重型脑干出血患者,显微外科手术治疗有可能会改善其预后。

Objective To investigate the clinical effect of microsurgical in treatment of brainstem hemorrhage. Methods A retrospective study was done on 40 patients with brainstem hemorrhage admitted in Department of Neurosurgery, Shanxi Dayi Hospital from March 2012 to April 2016. Data were collected at 3 months follow-up using the Barthel（BI） index. Results Of 40 patients, 15 patients recovered well, 7 patients moderately disabled, 3 patients severely disabled and 15 patients died. Microsurgery achieved in 8 cases,2 patients died,6 patients survived,among which 4 cases had a good prognosis. Conclusion Brainstem hemorrhage is associated with high morbidity and mortality,of which the clinical efficacy is not perfect; Microsurgery may be an effective treatment for some patients with severe brainstem hemorrhage.