神經(jīng)內(nèi)鏡經(jīng)旁正中入路在高血壓性小腦出血手術(shù)中的操作自由度及效果評(píng)價(jià)

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【中圖分類號(hào)】R743；R651 【文獻(xiàn)標(biāo)志碼】B 【文章編號(hào)】1672-7770（2025）02-0215-04

Abstract：ObjectiveTo explore the operational freedom treatment eficacy the paramedian endoscopic approachin surgeries for hypertensivecerebellarhemorrhage.MethodsThe clinical data 11patients with hypertensivecerebelar hemorrhage who underwent the paramedian endoscopic approach in Neurosurgery， Liaoning Hospital wereanalyzedretrospectively.The preoperative consciousness level，hemorrhage extent，operation time postoperative hematoma clearanceratewere observed.ResultsImmediate postoperative head CT scans showed that the hematoma clearance rate was over 90% in 10 patients 70% -90%in1 patient.After 3 months follow-up，1O patients survived 1 died.According to the modified Rankin scale，8 cases scored 0-2 points，2 cases scored 3 points，O cases scored 4-5 points，1 case scored 6 points.ConclusionsThe paramedian endoscopic approach for treating hypertensive cerebelar hemorrhage fers high operational freedom，allowing precise eficient hematomaremoval，reducing surgical trauma complications， promoting neurological recovery.Itisasafeefective minimallyinvasive treatment method.

Key words：hypertensive cerebellar hemorrhage；neuroendoscopy；surgical treatment

高血壓性小腦出血是高血壓腦出血的重要類型之一。（剩余8044字）