大面积小脑梗死71例手术治疗临床分析

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目的 探讨对大面积小脑梗死更合适的手术方式.方法大面积小脑梗死患者71例.随机分为三组,分别采用脑室穿刺外引流术加后颅窝开颅单纯外减压术(A组)、脑室穿刺外引流术加后颅窝开颅内外联合减压术(B组)及后颅窝开颅内外联合减压术(C组)三种手术方式进行治疗,对比三组的疗效.结果随访6个月时日常生活活动(ADL)计分,三组分别为:A组(43.24±27.86)分;B组(65.50±30.74)分;C组(64.71±28.41)分.A组与B组、A组与C组比较均有显著性差异(P《0.05),B组与C组比较无显著性差异.死亡率三组比较无显著性差异.结论大面积小脑梗死更适合做后颅窝开颅内外联合减压术.
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