中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
1期
48-49
,共2页
颅内动脉狭窄%血管成形术%支架
顱內動脈狹窄%血管成形術%支架
로내동맥협착%혈관성형술%지가
Intracranial artery stenosis%Angioplasty%Stents
目的：分析血管内治疗方式在颅内动脉狭窄治疗中的效果。方法：选择2008年4月~2011年4月收治的颅内动脉狭窄患者36例，均采用血管内治疗，治疗组(20例)采用自膨式支架技术治疗，对照组(16例)采用单纯球囊型扩张术治疗，对比两组手术成功率、再狭窄率、并发症发生率，以及术前术后血管狭窄率和NIHSS评分变化情况。结果：治疗组手术成功率95.0%，再狭窄率5.0%，并发症发生率5.0%；对照组手术成功率87.5%，再狭窄率12.5%，并发症发生率12.5%。另外，两组术后在血管狭窄率和NIHSS评分上，治疗组均改善更明显；治疗组效果整体更理想(P<0.05)。结论：血管内治疗方式在颅内动脉狭窄治疗中应用效果明显，自膨式支架技术效果更显著，值得临床推广。
目的：分析血管內治療方式在顱內動脈狹窄治療中的效果。方法：選擇2008年4月~2011年4月收治的顱內動脈狹窄患者36例，均採用血管內治療，治療組(20例)採用自膨式支架技術治療，對照組(16例)採用單純毬囊型擴張術治療，對比兩組手術成功率、再狹窄率、併髮癥髮生率，以及術前術後血管狹窄率和NIHSS評分變化情況。結果：治療組手術成功率95.0%，再狹窄率5.0%，併髮癥髮生率5.0%；對照組手術成功率87.5%，再狹窄率12.5%，併髮癥髮生率12.5%。另外，兩組術後在血管狹窄率和NIHSS評分上，治療組均改善更明顯；治療組效果整體更理想(P<0.05)。結論：血管內治療方式在顱內動脈狹窄治療中應用效果明顯，自膨式支架技術效果更顯著，值得臨床推廣。
목적：분석혈관내치료방식재로내동맥협착치료중적효과。방법：선택2008년4월~2011년4월수치적로내동맥협착환자36례，균채용혈관내치료，치료조(20례)채용자팽식지가기술치료，대조조(16례)채용단순구낭형확장술치료，대비량조수술성공솔、재협착솔、병발증발생솔，이급술전술후혈관협착솔화NIHSS평분변화정황。결과：치료조수술성공솔95.0%，재협착솔5.0%，병발증발생솔5.0%；대조조수술성공솔87.5%，재협착솔12.5%，병발증발생솔12.5%。령외，량조술후재혈관협착솔화NIHSS평분상，치료조균개선경명현；치료조효과정체경이상(P<0.05)。결론：혈관내치료방식재로내동맥협착치료중응용효과명현，자팽식지가기술효과경현저，치득림상추엄。
Objective:To analyze the effect of endovascular treatment on intracranial artery stenosis.Methods: 36 patients with intracranial artery stenosis were received and treated with endovascular treatment from April of 2008 to April of 2011 in our hospital in the present study. The self-expanding stent treatment technique was used in the treatment group that included 20 cases, and the simple balloon type expanding method was used in the control group that included 16 cases. Successful rate of operation, rate of restenosis, complication rate, preoperative and postoperative vascular stenosis rate, and NIHSS score changes in the two groups were compared.Results:The successful rate of operation, and rate of restenosis, and complication rate in the treatment group were 95.0%, 5.0%and 5.0%, respectively. In comparison, the successful rate of operation, and rate of restenosis, and complication rate in the control group were 87.5%, 12.5%and 12.5%, respectively. In addition, there were more obvious treatment effects in vascular stenosis rate and NIHSS score in the treatment group than that of the control group. The overall treatment effect was more ideal in the treatment group (P<0.05).Conclusion:The endovascular treatment method has more obvious effect in the treatment of intracranial artery stenosis, and the effect of the self-expanding stent technology is more significant, which deserves application widely.
