当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
20期
72-73
,共2页
缺血性脑血管病%血管内支架%介入治疗
缺血性腦血管病%血管內支架%介入治療
결혈성뇌혈관병%혈관내지가%개입치료
Ischemic cerebral vascular disease%Endovascular stent%Interventional therapy
目的总结血管内支架治疗缺血性脑血管病的体会。方法回顾分析19例缺血性脑血管病血管内支架治疗的资料。结果术后DSA证实:手术成功率100%,治疗后残余狭窄率低于20%。1例颈动脉窦反应,2例血管痉挛,1例出现高灌注综合征,7例颈内动脉支架均使用脑保护装置,2例术后保护装置内有脱落物,2例术后出现假性动脉瘤。19例随访6~24个月,无1例再发脑梗塞。结论血管内支架成形术是一种治疗缺血性脑血管病安全有效的方法,提高术者操作技巧及加强围手术期监护可以大大降低手术并发症和病死率。
目的總結血管內支架治療缺血性腦血管病的體會。方法迴顧分析19例缺血性腦血管病血管內支架治療的資料。結果術後DSA證實:手術成功率100%,治療後殘餘狹窄率低于20%。1例頸動脈竇反應,2例血管痙攣,1例齣現高灌註綜閤徵,7例頸內動脈支架均使用腦保護裝置,2例術後保護裝置內有脫落物,2例術後齣現假性動脈瘤。19例隨訪6~24箇月,無1例再髮腦梗塞。結論血管內支架成形術是一種治療缺血性腦血管病安全有效的方法,提高術者操作技巧及加彊圍手術期鑑護可以大大降低手術併髮癥和病死率。
목적총결혈관내지가치료결혈성뇌혈관병적체회。방법회고분석19례결혈성뇌혈관병혈관내지가치료적자료。결과술후DSA증실:수술성공솔100%,치료후잔여협착솔저우20%。1례경동맥두반응,2례혈관경련,1례출현고관주종합정,7례경내동맥지가균사용뇌보호장치,2례술후보호장치내유탈락물,2례술후출현가성동맥류。19례수방6~24개월,무1례재발뇌경새。결론혈관내지가성형술시일충치료결혈성뇌혈관병안전유효적방법,제고술자조작기교급가강위수술기감호가이대대강저수술병발증화병사솔。
Objective To summarize the efficacy and experience of endovascular stenting for treating ischemic cerebral vascular disease. Methods Retrospective analysis of 19 cases of ischemic cerebral vascular disease endovascular stent implantation in the treatment of data. Results Postoperative DSA demonstrated that, the successful rate of the operation was 100%, postperatively residuai internal carotid stenoses in all patients were less than 20%, 1 case occurred carotid sinus reactions, vascular spasm in 2 case, while 1 case occurred hyperperfusion syndrome(HS), 7 patients with internal carotid arteries was all used with angioguard, 2 angioguards in which we found fragments. 2 cases occurred pseudoaneurysm. 19 patients were followed-up for 6-24 months after operation, in whom no any recurrence of cerebral in faretion was found. Conclusion Endovascular stent angioplasty is a safe and effective means for treating internal carotid stenosis. Elevating the operator’s skill and enhancing the perioperative surveillance can greatly reduce the complication and mortality.