经小脑蚓裂入路清除小脑出血19例的疗效分析

Curative Effect Analysis of 19 Cases of Cerebellar Vermis by Fissure Appraoch to Remove Small Cerebral Hemorrhage

目的探讨经小脑蚓裂清除小脑血肿的治疗方法的临床疗效。方法对19例高血压性小脑出血患者采用经小脑蚓裂入路清除血肿(后颅窝减压)手术治疗,观察血肿清除情况和治疗效果。结果 19例术后按日常生活活动评分(ADL)评定预后:Ⅰ级8例,Ⅱ级7例,Ⅲ级2例,Ⅳ1例,死亡1例。结论经小脑蚓裂入路清除小脑血肿具有对小脑组织创伤小、出血少、疗效好等优点,适合高血压性小脑出血的救治。

Objective To investigate curative effect analysis of cerebellar vermis by fissure appraoch to remove small cerebral hemorrhage.Methods 19 cases of hypertensive cerebral hemorrhage patients with cerebellar vermis by fissure appraoch to removal of hematoma were selected,posterior fossa decompression surgery treatment were used,hematoma removal conditions and treatment effects were observed.Results 19 cases of postoperative activity score according to the daily life（ADL） to assess the prognosis：Ⅰ level was 8cases,Ⅱ level was 7 cases,Ⅲ level was 2 cases,Ⅳ was 1 case,1 case was death.Conclusion The cerebellar vermis by fissure appraoch to remove cerebellar hematoma small to cerebellar tissue trauma,has less bleeding,and the advantages of good curative effect,it is suitable for small hypertensive cerebral hemorrhage treatment.