神经内镜微创手术治疗高血压性小脑出血临床研究

目的：观察神经内镜微创手术治疗高血压性小脑出血的疗效,以供临床参考。方法：以30例高血压性小脑出血患者为研究对象,进行神经内镜微创手术治疗。观察患者血肿清除率,术后3个月采用GOS评分进行随访。比较治疗前后GCS评分、Fugl-Meyer评分的差异。结果：患者血肿平均清除率为（91.56±4.20）%,术后3个月GOS分级为：恢复良好19例,轻度残疾6例,重度残疾4例,植物状态1例。与术前相比较,术后患者GCS评分、Fugl-Meyer评分明显上升,差异有统计学意义（P〈0.05）。结论：采用神经内镜微创手术治疗高血压性小脑出血可取得较好的疗效,改善患者生活质量。

Clinical Study of Minimally Invasive Operation in Treatment of Hypertensive Cerebellar Hemorrhage

Objective：To observe the effect of minimally invasive operation in treatment of hypertensive cerebellar hemorrhage,for reference.Methods：Choose 30 cases as research object,gave them a minimally invasive operation treatment.Observe hematoma clearance rate,GOS score 3 months after operation.Compare differences in GCS score,Fugl-Meyer score before and after treatment.Results：The average hematoma removal rate was（91.56± 4.20） %,3 months after surgery,GOS grade 19 cases had good recovery,6 cases mild disability,4 cases severe disability,1 case vegetative state.Compared with preoperative,postoperative GCS score,Fugl-Meyer score was significantly increased,showed statistical difference（P0.05）.Conclusion：Minimally invasive operation in the treatment of hypertensive cerebellar hemorrhage can be achieved better results,improve life quality of patients.