【摘 要】目的：探讨小脑出血的微创手术方法和疗效。方法：回顾我院2014年6月至2017年6月收治的小脑出血患者中采用粉碎针微创手术治疗的病例资料，共有6例患者采用血肿穿刺粉碎针行微创手术治疗。 结果：术后6月存活5例，死亡1例，存活者在术后6个月时按日常生活能力(ADL)量表(Barthel指数)评价疗效：>60分3例，40～60分2例，30分1例。结论：血肿粉碎针穿刺是小脑出血手术方式中一个有效选择，使用微创穿刺技术可明显缩短手术之间，减少手术创伤，减少全身麻醉相关风险，可在合并有较重内科疾患时采用，减轻患者经济负担，是提高救治成功率，改善预后的有效手段。

    【关键词】 小脑出血；粉碎针穿刺；微创手术

    【中图分类号】R743.2

    【文献标志码】A

    【文章编号】1005-0019(2018)05-220-01

    Abstract Objective：To investigate the minimally invasive surgery and efficacy of cerebellar hemorrhage. Methods： The data of minimally invasive surgery with intracranial hematoma smash needles in patients with cerebellar hemorrhage admitted from June 2014 to June 2017 in our hospital were retrospectively reviewed. A total of 6 patients underwent minimally invasive surgery of hematoma puncture and smash needle. Results：Five patients survived 6 months and one died after surgery. Survivors were evaluated according to the Barthel Index of daily living ability scale at 6 months after operation： more than 60 points in 3 cases ......