中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
4期
367-369
,共3页
椎基底动脉%狭窄%血管成形术%支架%随访%远期效果
椎基底動脈%狹窄%血管成形術%支架%隨訪%遠期效果
추기저동맥%협착%혈관성형술%지가%수방%원기효과
Vertebral basilar artery%Stenosis%Angioplasty%Stents%Follow-up%Long-term effect
目的 探讨症状性椎基底动脉血管内支架成形术的远期效果.方法 选取症状性椎动脉狭窄接受血管内支架治疗的33例患者,对临床症状和支架内再狭窄情况进行随访观察分析.结果 33例患者支架成形术后临床症状均明显改善,术前平均狭窄率为(92.36±3.23)％,术后即刻平均残余狭窄率为(9.13±2.57)％.术后23例临床症状完全消失,10例明显改善.1例基底动脉重度狭窄患者术后出现一侧肢体麻木的并发症,1例术后出现脑栓塞表现,3d后恢复正常.随访6～24个月,9例出现头晕、头昏等不适症状,其中29例获得数字减影血管造影检查,残余狭窄率为(19.27±5.62)％,3例椎动脉开口支架内再狭窄＞50％,再次给予支架内成形术,症状消失.结论 症状性椎基底动脉狭窄血管内支架成形术能够明显缓解脑缺血症状,提高患者生存质量,同时有一定的再狭窄率.
目的 探討癥狀性椎基底動脈血管內支架成形術的遠期效果.方法 選取癥狀性椎動脈狹窄接受血管內支架治療的33例患者,對臨床癥狀和支架內再狹窄情況進行隨訪觀察分析.結果 33例患者支架成形術後臨床癥狀均明顯改善,術前平均狹窄率為(92.36±3.23)％,術後即刻平均殘餘狹窄率為(9.13±2.57)％.術後23例臨床癥狀完全消失,10例明顯改善.1例基底動脈重度狹窄患者術後齣現一側肢體痳木的併髮癥,1例術後齣現腦栓塞錶現,3d後恢複正常.隨訪6～24箇月,9例齣現頭暈、頭昏等不適癥狀,其中29例穫得數字減影血管造影檢查,殘餘狹窄率為(19.27±5.62)％,3例椎動脈開口支架內再狹窄＞50％,再次給予支架內成形術,癥狀消失.結論 癥狀性椎基底動脈狹窄血管內支架成形術能夠明顯緩解腦缺血癥狀,提高患者生存質量,同時有一定的再狹窄率.
목적 탐토증상성추기저동맥혈관내지가성형술적원기효과.방법 선취증상성추동맥협착접수혈관내지가치료적33례환자,대림상증상화지가내재협착정황진행수방관찰분석.결과 33례환자지가성형술후림상증상균명현개선,술전평균협착솔위(92.36±3.23)％,술후즉각평균잔여협착솔위(9.13±2.57)％.술후23례림상증상완전소실,10례명현개선.1례기저동맥중도협착환자술후출현일측지체마목적병발증,1례술후출현뇌전새표현,3d후회복정상.수방6～24개월,9례출현두훈、두혼등불괄증상,기중29례획득수자감영혈관조영검사,잔여협착솔위(19.27±5.62)％,3례추동맥개구지가내재협착＞50％,재차급여지가내성형술,증상소실.결론 증상성추기저동맥협착혈관내지가성형술능구명현완해뇌결혈증상,제고환자생존질량,동시유일정적재협착솔.
Objective To investigate the long-term effect of angioplasty of patients with symptomatic vertebrobasilar artery stent.Methods Thirty-three patients with symptomatic vertebral artery stenosis who underwent endovascular treatment stent.The clinical symptoms and stent restenosis were recorded.Results The clinical symptoms of 33 cases with angioplasty were improved significantly.The preoperative stenosis rate was (92.36 ±3.23)％ before operation and the average postoperative residual stenosis rate was (9.13 ±2.57)％ after operation.Clinical symptoms of 23 patients disappeared completely after operation,and 10 cases improved significantly.As to complications,1 case with severe basilar artery stenosis had a side numbness of extremities,1 case showed postoperative cerebral embolism,and return to normal after 3 days.When follow up periods lasted for 6-24 months,9 cases were with dizziness or other symptoms.Of which,29 cases were performed DSA imaging,the residual stenosis rate was (19.27 ± 5.62)％,3 cases of vertebral artery in-stent restenosis were reached over 50％.Those 3 cases were give stent angioplasty again and the uncomfortable symptoms disappeared.Conclusion Stenosis opeation can significantly alleviate the symptoms of cerebral ischemia and symptomatic vertebrobasilar artery,and improve the quality of life of patients.However,restenosis should paid more attention.
