CAJ | 학술논문

目的：总结我院9例椎部动脉支架植入术治疗椎动脉狭窄的经验，为临床治疗提供参考依据。方法：对9例行椎动脉支架植入术患者手术成功率、术前及术后椎动脉的狭窄程度进行评价。结果：9例患者共植入9枚支架，手术成功率100％，支架植入后血流通.，支架膨胀良好，颅内血供良好。与术前比较，术后狭窄率显著下降[（84.0±5.7）％比（10.0±2.0）％]（P＜0.01）。随访3年血管未再发生狭窄。结论：椎部动脉成形和支架植入术是治疗椎动脉狭窄的一种新兴、微创、有效及安全性高的治疗方法，疗效肯定，应用前景广阔。
목적：총결아원9례추부동맥지가식입술치료추동맥협착적경험，위림상치료제공삼고의거。방법：대9례행추동맥지가식입술환자수술성공솔、술전급술후추동맥적협착정도진행평개。결과：9례환자공식입9매지가，수술성공솔100％，지가식입후혈류통.，지가팽창량호，로내혈공량호。여술전비교，술후협착솔현저하강[（84.0±5.7）％비（10.0±2.0）％]（P＜0.01）。수방3년혈관미재발생협착。결론：추부동맥성형화지가식입술시치료추동맥협착적일충신흥、미창、유효급안전성고적치료방법，료효긍정，응용전경엄활。
Objective:To summarize experience of vertebral artery stenting in nine cases with vertebral artery stenosis for providing reference for clinical treatment .Methods :Success rate of operation ,vertebral artery stenotic degree before and after operation were evaluated in nine cases undergoing vertebral artery stenting .Results:A total of nine stents were implanted in nine cases and the success rate of operation was 100% ,after stents were implanted blood flow was unobstructed ,stent expansion was good and intracranial blood supply was good .Compared with before op‐eration ,stenosis rate significantly reduced after operation [(84.0 ± 5.7)% vs .(10.0 ± 2.0)% ] (P<0.01) .No vas‐cular restenosis occurred within three‐year follow -up .Conclusion:Vertebral artery angioplasty and stenting is a new emerging ,minimally invasive ,effective and highly safe therapeutic method for vertebral artery stenosis ,the therapeutic effect is sure and application prospect is broad .