CAJ | 학술논문

目的评价颈内动脉颅内段血管夹层血管内治疗的临床效果.方法 2例大脑中动脉M1段夹层的患者行血管内支架治疗,1例床突上段夹层的患者接受内科保守治疗.结果 2例大脑中动脉M1段夹层的患者均给予Apollo支架植入,术后1例患者左侧肢体功能有所改善,NIHSS评分由术前的3分提高至术后的2分;1例术前左侧肢体发作性无力的患者术后未再发作.另外1例未予手术的患者给予抗凝治疗,临床症状也有一定程度的恢复.结论血管内支架治疗颈内动脉颅内段夹层具有较好的临床疗效,尤其适合于内科保守治疗无效且症状逐渐进展的患者.
목적 평개경내동맥로내단혈관협층혈관내치료적림상효과.방법 2례대뇌중동맥M1단협층적환자행혈관내지가치료,1례상돌상단협층적환자접수내과보수치료.결과 2례대뇌중동맥M1단협층적환자균급여Apollo지가식입,술후1례환자좌측지체공능유소개선,NIHSS평분유술전적3분제고지술후적2분;1례술전좌측지체발작성무력적환자술후미재발작.령외1례미여수술적환자급여항응치료,림상증상야유일정정도적회복.결론 혈관내지가치료경내동맥로내단협층구유교호적림상료효,우기괄합우내과보수치료무효차증상축점진전적환자.
Objective To evaluate the clinical effect of endovascular stent placement to the treatment of intracranial internal carotid artery dissection.Methods Two patients with intracranial internal carotid artery dissection received the treatment of stent placement,and 1 patient with a dissection of the supra clinoid internal carotid artery received conventional anticoagulation treatment.Results Two patients with intracranial internal carotid artery dissection were given treatment of Apollo stent placement,of which 1 patient had improvement of left limb paresis,the score of NIHSS from 3 before operation to 2 after operation; the other one with episodic left limb weakness was not seen any attack after stent placement.Another one patient without stent placement receiving conventional anticoagulation treatment had some improvement of right limb paralysis.Conclusion The treatment of endovascular stent placement to the intracranial internal carotid artery dissection has better clinical efficacy and especially used for those patients with no effect to the conventional anticoagulation treatment.