内窥镜治疗小脑血肿疗效分析
【中图分类号】R259.8 【文献标识码】A 【文章编号】1672-3783(2012)01-0026-01【摘要】 目的：探讨内窥镜治疗小脑血肿的临床效果。方法：随机选取2009年3月至2010年8月在我院住院并用内窥镜治疗的小脑血肿患者35例，血肿大小：11例大于20ml，20例20ml～15ml，小于15ml的有4例。病程为3小时～11天，平均病程为4.7天。所有患者均经内窥镜治疗，并观察术后他们的治疗效果。结果：35例患者有32例存活，3例死亡，生存率为91.43%，术后即行CT复查：有27例患者的血肿一次抽吸超过了85%，一次抽吸在50%～85%的患者有6例，小于50%的患者有2例。结论：内窥镜治疗小脑血肿能够有效地清除血肿，避免损伤脑组织，是一种简单有效的治疗方法。
【关键词】 内窥镜；小脑血肿；疗效；微创手术
【Abstract】 Objective: To evaluate the endoscopic treatment of the clinical effects of cerebellar hematoma. Methods: Randomly selected from March 2009 to August 2010 in our hospital and treated with endoscopic 35 patients with cerebellar hematoma, hematoma size: 11 cases of greater than 20ml, 20 例 20ml ~ 15ml, 15ml of less than 4 cases. Duration of 3 hours to 11 days, the average duration of 4.7 days. All patients were treated by endoscopic treatment, and observed after their treatment. Results: 35 patients, 32 patients survived, 3 deaths, survival rate was 91.43%, after which the line CT scans: 27 patients with a hematoma aspiration more than 85%, a suction of 50% to 85% of the patients, 6 patients, less than 50% of patients in 2 patients. Conclusion: Endoscopic treatment of cerebellar hematoma can effectively remove the hematoma, to avoid damage brain tissue, is a simple and effective method of treatment. ......
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