Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination

Hou Qianliang; Niu Jun; Wang Jinzeng; Liu Changqing

doi:10.13406/j.cnki.cyxb.002759

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Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination

更新时间：2024-01-09

- Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination
- Journal of Chongqing Medical University Vol. 46, Issue 5, Pages: 560-563(2021)
- 作者机构：
  
  焦作煤业集团有限责任公司中央医院神经外科,焦作,454102
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.002759
  CLC： R743.34
- Published：2021，
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Hou Qianliang, Niu Jun, Wang Jinzeng, et al. Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination. [J]. Journal of Chongqing Medical University 46(5):560-563(2021)
DOI：

Hou Qianliang, Niu Jun, Wang Jinzeng, et al. Clinical efficacy of hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination. [J]. Journal of Chongqing Medical University 46(5):560-563(2021) DOI： 10.13406/j.cnki.cyxb.002759.

摘要

目的：探讨小骨瓣开颅血肿清除术治疗高血压性小脑出血的临床疗效。方法：回顾性分析23例急诊小骨瓣开颅血肿清除术治疗高血压性小脑出血患者的临床资料，依据患者术后复查CT及术后1个月、3个月随访的GOS评价手术疗效。结果：本组均在术后24 h内复查头部CT，其中完全清除血肿22例，部分清除血肿1例（血肿残余量<10%），术后1个月GOS：5分20人，4分3人；术后3个月GOS：5分22人，4分1人。结论：高血压性小脑出血的“小骨瓣开颅血肿清除术”具有创伤小、手术时间短、并发症少、术后患者恢复快、愈后好等特点，值得推广应用。

Abstract

Objective: To investigate the clinical efficacy of small bone flap craniotomy for hematoma elimination in the treatment of hypertensive cerebellar hemorrhage. Methods: The clinical data of 23 patients with hypertensive cerebellar hemorrhage treated with small bone flap craniotomy for hematoma elimination was retrospectively analyzed. CT scan were reexamined after operation based on the individual condition and GOS (Glasgow outcome scale) scores of 1 month and 3 months follow-up after operation. Results: CT scan was performed in all patients within 24 hours after operation. Among them

22 cases of hematoma were completely eliminated and 1 case was mostly eliminated (residual volume of hematoma<10%). One month after operation

20 cases had GOS score of 5 points

3 cases had 4 points. Routine follow-up of 3 months after operation

22 cases had GOS score 5 points and 1 case had 4 points. Conclusion: The "small bone flap hematoma craniotomy for hematoma elimination" in the treatment of hypertensive cerebellar hemorrhage has the advantages of less trauma

short operation time

less complications

quick recovery and optimistic prognosis

which is worthy of promotion and application in hospitals with mature microscopic technology.

关键词

小脑出血小骨瓣开颅手术血肿清除术

Keywords

cerebellar hemorrhagesmall bone flapcraniotomyhematoma elimination

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Related Author

Huang Fusen

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Related Institution

Department of Anesthesia，The First Affiliated Hospital of Chongqing Medical University

Department of Anesthesia，West China Hospital，Sichuan University

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