CAJ | 학술논문

目的观察机械碎栓联合动脉溶栓治疗急性脑梗死的临床疗效.方法选择21例急性脑梗死患者,发病到溶栓时间为6h,在数字血管减影机下进行全脑血管造影,找出责任闭塞血管,应用小球囊或支架(solitaire)进行血栓碎裂,或取栓后对残余血栓应用微导管进行动脉内溶栓;术后应用美国国立卫生院卒中量表(NIHSS)评分,2个月后应用牛津残障量表(OHS)进行预后评价.结果 21例患者经过碎栓、溶栓治疗后有17例闭塞血管完全再通,4例未通.术后颅内出血1例,大面积脑梗死2例,但术后2个月应用OHS进行预后评价,其临床症状预后良好占76.19％.且术后NIHSS评分较术前明显下降.结论机械碎栓联合动脉溶栓是治疗急性脑梗死的一种安全、有效且可行的方法.
목적 관찰궤계쇄전연합동맥용전치료급성뇌경사적림상료효.방법 선택21례급성뇌경사환자,발병도용전시간위6h,재수자혈관감영궤하진행전뇌혈관조영,조출책임폐새혈관,응용소구낭혹지가(solitaire)진행혈전쇄렬,혹취전후대잔여혈전응용미도관진행동맥내용전;술후응용미국국립위생원졸중량표(NIHSS)평분,2개월후응용우진잔장량표(OHS)진행예후평개.결과 21례환자경과쇄전、용전치료후유17례폐새혈관완전재통,4례미통.술후로내출혈1례,대면적뇌경사2례,단술후2개월응용OHS진행예후평개,기림상증상예후량호점76.19％.차술후NIHSS평분교술전명현하강.결론 궤계쇄전연합동맥용전시치료급성뇌경사적일충안전、유효차가행적방법.
Objective To observe the clinical effect of mechanical thrombectomy combined with artery thrombolysis in treating acute cerebral infarction.Methods The period from the morbidity to thrombolysis was 6 hours for 21 patients with acute cerebral infarction; overall cerebral angiography was performed under the digital vessel subtraction machine; thrombus were crashed or fetched out through small sacculus or support after the responsible blocking vessel was found then artery thrombolysis was performed on residual thrombus by means of micro conduit.The NIHSS assessment was performed after the operation,and the OHS was performed to evaluate the prognosis after three months.Results Among the 21 patients who achieve thrombectomy or thrombolysis treatment,17 patients has full recanalization in blocking vessel; 4 patient has no recanalization in blocking vessel; After the operation:1 patient has intracranial hemorrhage,2 patients have massive cerebral infarction.However,three months after the operation,the good prognosis of clinical symptoms accounts for 76.19％ in the OHS assessment.Furthermore,the mark of NIHSS after operation decreases obviously compared with that before operation.Conclusions The combination of mechanical thrombectomy with artery thrombolysis is a safe,effective and feasible method to treat acute cerebral infarction.