广西医学
廣西醫學
엄서의학
GUANGXI MEDICAL JOURNAL
2014年
4期
462-464,467
,共4页
椎动脉狭窄%血管内支架成形术%动脉粥样硬化
椎動脈狹窄%血管內支架成形術%動脈粥樣硬化
추동맥협착%혈관내지가성형술%동맥죽양경화
Vertebral artery stenosis%Endovascular stenting%Atherosclerosis
目的：观察血管内支架成形术治疗症状性颈椎动脉开口狭窄的疗效及安全性。方法105例症状性椎动脉开口狭窄患者行椎动脉开口支架成形术，观察其成功率、围术期并发症及临床疗效。结果105例患者椎动脉开口共成功植入105枚球扩式支架，术后即刻造影残余狭窄率为（9．1±3．0）％，成功率达100．00％。围术期未发生动脉夹层、支架内血栓形成、颅内出血等并发症。术后第2～7天和1个月复查椎动脉颅多普勒超声提示血流动力学明显改善，未发现再狭窄。术后1个月总有效率94．29％。术后随访1～36（21±6）个月，支架内再狭窄率24．76％（26/105），未发现与责任血管相关的短暂性脑缺血发作及脑梗死。结论血管内支架成形术治疗症状性椎动脉开口狭窄能解除血管狭窄，明显改善狭窄椎动脉的血流动力学，并发症少，临床疗效好，是一种安全有效的治疗方法。
目的：觀察血管內支架成形術治療癥狀性頸椎動脈開口狹窄的療效及安全性。方法105例癥狀性椎動脈開口狹窄患者行椎動脈開口支架成形術，觀察其成功率、圍術期併髮癥及臨床療效。結果105例患者椎動脈開口共成功植入105枚毬擴式支架，術後即刻造影殘餘狹窄率為（9．1±3．0）％，成功率達100．00％。圍術期未髮生動脈夾層、支架內血栓形成、顱內齣血等併髮癥。術後第2～7天和1箇月複查椎動脈顱多普勒超聲提示血流動力學明顯改善，未髮現再狹窄。術後1箇月總有效率94．29％。術後隨訪1～36（21±6）箇月，支架內再狹窄率24．76％（26/105），未髮現與責任血管相關的短暫性腦缺血髮作及腦梗死。結論血管內支架成形術治療癥狀性椎動脈開口狹窄能解除血管狹窄，明顯改善狹窄椎動脈的血流動力學，併髮癥少，臨床療效好，是一種安全有效的治療方法。
목적：관찰혈관내지가성형술치료증상성경추동맥개구협착적료효급안전성。방법105례증상성추동맥개구협착환자행추동맥개구지가성형술，관찰기성공솔、위술기병발증급림상료효。결과105례환자추동맥개구공성공식입105매구확식지가，술후즉각조영잔여협착솔위（9．1±3．0）％，성공솔체100．00％。위술기미발생동맥협층、지가내혈전형성、로내출혈등병발증。술후제2～7천화1개월복사추동맥로다보륵초성제시혈류동역학명현개선，미발현재협착。술후1개월총유효솔94．29％。술후수방1～36（21±6）개월，지가내재협착솔24．76％（26/105），미발현여책임혈관상관적단잠성뇌결혈발작급뇌경사。결론혈관내지가성형술치료증상성추동맥개구협착능해제혈관협착，명현개선협착추동맥적혈류동역학，병발증소，림상료효호，시일충안전유효적치료방법。
Objective To investigate the effect and safety of endovascular stenting for the treatment of symptomatic stenosis of vertebral artery origin .Methods One hundred and five patients with symptomatic stenosis of vertebral artery origin received transradial vertebral stenting .The success rate of operation ,peri-operation complication and clinical effect were observed .Results One hundred and five balloon expandable stents were successfully placed in 105 patients with symptomatic stenosis of vertebral artery origin .The rate of residual stenosis following instant angiography was (9.1 ±3.0)%. The success rate of operation was 100 .00%.No arterial dissection ,intra-stent thrombosis and intracranial hemorrhage were found during peri-operative period .Transcranial color Doppler ultrasonography of vertebral artery performed again 2-7 days and one month after operation suggested that hemodynamics were improved and no restenosis was found .The total effective rate was 94.29%one month after operation.The postoperative follow-up lasted for 3-36(21 ±6)months,the rate of intra-stent restenosis was 24.76%(26/105),and no responsible artery-related transient ischemic attack and cerebral infarction were found.Conclusion Endovascular stenting for symptomatic stenosis of vertebral artery origin can relieve the vascular stenosis and significantly improve the hemodynamics of the vertebral artery with stenosis , with less complications and better clinical effects ,it is a safe and effective therapy .
