显微镜下超早期小骨窗开颅手术治疗小脑出血的临床研究

Clinical study of microscopical ultra-early small bone window craniotomy in the treatment of cerebellar hemorrhage

目的:探究显微镜下超早期小骨窗开颅手术治疗小脑出血的临床效果。方法:收治小脑出血患者90例,根据手术时机分为早期组与超早期组。两组均给予显微镜下超早期小骨窗开颅手术治疗,比较两组手术前后NHISS评分、Barthel指数及术后并发症发生率。结果:超早期组NHISS评分及Barthel指数改善优于早期组,差异具有统计学意义(P<0.05)。超早期组肺部感染、胃肠道反应、消化道出血、泌尿系统感染、再出血发生率均低于早期组,差异具有统计学意义(P<0.05)。结论:显微镜下超早期小骨窗开颅手术治疗小脑出血的临床效果显著,改善神经功能缺损,并发症发生率较低。

Objective:To explore the clinical effect of microscopical ultra-early small bone window craniotomy in the treatment ofcerebellar hemorrhage.Methods:90 cases of patients with cerebellar hemorrhage were divided into the early group and theultra-early group according to the operation time.The two groups were treated with microscopical ultra-early small bone windowcraniotomy.The NHISS scores,barthel index before and after surgery and the incidence of postoperative complications in the twogroups were compared.Results:The improvement of NHISS scores and barthel index in the ultra-early group were better thanthose in the early group,and the differences were statistically significant (P<0.05).The incidence of pulmonary infection,gastrointestinal tract reaction,gastrointestinal bleeding,urinary tract infection and re-bleeding in the ultra-early group were lowerthan those in the early group,and the differences were statistically significant (P<0.05).Conclusion:Microscopical ultra-earlysmall bone window craniotomy in the treatment of cerebellar hemorrhage had significant clinical effect and lower incidence ofcomplications.