CAJ | 학술논문

目的：探讨椎-基底动脉狭窄未行支架治疗患者个体化管理的疗效及安全性。方法初发的症状性椎-基底动脉狭窄患者226例，随机分为治疗组126例，对照组100例。治疗组依据责任血管狭窄程度给予治疗个体化管理，比较两组治疗后6个月、1年的终点事件、血管狭窄程度的变化。结果治疗组脑梗死发生和复发、病死率均明显低于对照组。治疗组责任血管狭窄程度较对照组改善更明显（P＜0.05）。结论症状性椎-基底动脉狭窄未行支架植入患者治疗个体化管理可能降低缺血性脑卒中的发病率及病死率。
목적：탐토추-기저동맥협착미행지가치료환자개체화관리적료효급안전성。방법초발적증상성추-기저동맥협착환자226례，수궤분위치료조126례，대조조100례。치료조의거책임혈관협착정도급여치료개체화관리，비교량조치료후6개월、1년적종점사건、혈관협착정도적변화。결과치료조뇌경사발생화복발、병사솔균명현저우대조조。치료조책임혈관협착정도교대조조개선경명현（P＜0.05）。결론증상성추-기저동맥협착미행지가식입환자치료개체화관리가능강저결혈성뇌졸중적발병솔급병사솔。
Objective To investigate the vertebral-basilar artery stent efficacy and safety of the treatment of the individual patient management. Methods The onset of symptomatic vertebral-basilar artery stenosis 226 cases were randomly divided into a treatment group, 126 patients in the control group of 100 patients. The treatment group was given under the responsibility of vascular stenosis treatment individualized management, treatment, six months after the end of the event, the change of the degree of stenosis. Results In the treatment group, cerebral infarction and recurrence, and mortality were significantly lower than the control group. Responsibility vascular stenosis treatment group compared with the control group improved significantly (P<0.05). Conclusion Symptomatic vertebral-basilar artery stenosis did not undergo stent implantation in patients with treatment the individualized management may reduce the morbidity and mortality of ischemic stroke.