[1]李继坤,刘祺,田卫东,等.急性缺血性脑卒中血管内治疗的临床应用[J].临床神经外科杂志,2018,15(04):275-281.
 LI Ji-kun,LIU Qi,TIAN Wei-dong,et al.Clinical application of endovascular treatment for acute ischemic stroke[J].Journal of Clinical Neurosurgery,2018,15(04):275-281.
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急性缺血性脑卒中血管内治疗的临床应用()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年04期
页码:
275-281
栏目:
脑血管专题
出版日期:
2018-08-15

文章信息/Info

Title:
Clinical application of endovascular treatment for acute ischemic stroke
作者:
李继坤刘祺田卫东代林志侯帆迪贺文高李洋焦曦赵冬
276000 临沂,平邑县人民医院神经外科(李继坤);石河子大学医学院第一附属医院(刘祺,田卫东,代林志,侯帆迪,贺文高,李洋,焦曦,赵冬)
Author(s):
LI Ji-kunLIU QiTIAN Wei-donget al.
Department of Neurosurgery,the People's Hospital of Pingyi County,Linyi 276000,China
关键词:
急性缺血性脑卒中血管内治疗动脉溶栓机械取栓
Keywords:
acute ischemic strokeendovascular treatmentintra-arterial thrombolysismechanical thrombectomy
分类号:
R651.1
文献标志码:
A
摘要:
目的 探讨急性缺血性脑卒中患者血管内治疗的方法及临床疗效。方法 回顾性分析2015年5月至2017年3月收治的187例急性缺血性脑卒中患者的临床资料。比较患者术前和术后的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)、改良Rankin量表(mRS)评分和脑梗死溶栓(thrombolysis in cerebral infarction,TICI)分级;观察患者术后的并发症。结果 本组患者中,行动脉溶栓治疗者138例,行动脉溶栓+机械碎栓者9例,行支架取栓者30例,行支架取栓+支架植入者10例。本组患者的血管再通(TICI为2b或3级)率为91.4%;术前和术后1 d的NIHSS评分分别为(14.87±4.44)分、(9.35±7.14)分。术后3个月时随访,130例患者(69.5%)的预后良好(mRS≤2分),死亡率为22.5%(42/187)。结论 根据患者的病情选择动脉溶栓或支架取栓等血管内治疗方式,能明显改善患者的预后,并且安全、有效。
Abstract:
Objective To explore the methods and clinical effects of endovascular treatment in patients with acute ischemic stroke(AIS).Methods Clinical data of 187 patients with AIS underwent endovascular treatment from May 2015 to March 2017 were analyzed retrospectively,including clinical data of operation and changes of preoperative and postoperative NIHSS scores, mRs score,TICI scores,postoperative complications.Results Of 187 patients, 138 treated with artery thrombolysis, 9 artery thrombolysis and mechanical thrombectomy, 30 stent thrombectomy, 10 stent thrombectomy and stent implantation.It was found that the revascularization rate was 91.4% (TICI score is 2b or 3),and preoperative or postoperative NIHSS score was (14.87±4.44) or (9.35±7.14).The followed-up of 3 months afteroperation showed 130(69.5%) patients with good prognosis (mRs≤2) and the mortality rate was 22.5% (42/187).Conclusion According to the patients' condition,the endovascular treatment,such as arterial thrombolysis or stent thrombectomy,can improve the prognosis with safety and effectiveness.

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更新日期/Last Update: 1900-01-01