中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
Chinese Journal of Practical Nervous Diseases
2015年
23期
13-15
,共3页
症状性颅内动脉狭窄%低灌注%颅内支架置入%脑梗死
癥狀性顱內動脈狹窄%低灌註%顱內支架置入%腦梗死
증상성로내동맥협착%저관주%로내지가치입%뇌경사
Symptomatic intracranial artery stenosis%Low perfusion%Intracranial stenting%Cerebral infarction
目的：探讨对症状性颅内动脉粥样硬化性狭窄低灌注患者治疗中，颅内支架置入能否使患者获得较好的临床获益与风险比。方法回顾性分析41例缺血性卒中患者（经脑血管造影显示IAS）的资料，分为支架组（行颅内支架置入术）、药物组，观察患者围手术期、随访期间主要终点事件。结果手术成功率100％，围手术期大的并发症1例。平均随访11.2个月，12个月时对比NIHSS评分好转情况，支架组1例术后并发脑梗死后遗留后遗症，并发症发生率4.5％，12个月随访时NIHSS评分较术前增加3分，余21例平均NIHSS评分下降5.4分。药物治疗组患者12个月随访，脑卒中复发率10.5％，1例出院后4个月发生再次卒中，12个月时NIHSS评分增加4分，1例出院8个月后再次卒中，12个月时NIHSS评分增加5分，余17例12个月随访时平均NIHSS评分下降3.8分。结论对灌注低的症状性IAS患者，行颅内支架置入，患者可能获益更多。
目的：探討對癥狀性顱內動脈粥樣硬化性狹窄低灌註患者治療中，顱內支架置入能否使患者穫得較好的臨床穫益與風險比。方法迴顧性分析41例缺血性卒中患者（經腦血管造影顯示IAS）的資料，分為支架組（行顱內支架置入術）、藥物組，觀察患者圍手術期、隨訪期間主要終點事件。結果手術成功率100％，圍手術期大的併髮癥1例。平均隨訪11.2箇月，12箇月時對比NIHSS評分好轉情況，支架組1例術後併髮腦梗死後遺留後遺癥，併髮癥髮生率4.5％，12箇月隨訪時NIHSS評分較術前增加3分，餘21例平均NIHSS評分下降5.4分。藥物治療組患者12箇月隨訪，腦卒中複髮率10.5％，1例齣院後4箇月髮生再次卒中，12箇月時NIHSS評分增加4分，1例齣院8箇月後再次卒中，12箇月時NIHSS評分增加5分，餘17例12箇月隨訪時平均NIHSS評分下降3.8分。結論對灌註低的癥狀性IAS患者，行顱內支架置入，患者可能穫益更多。
목적：탐토대증상성로내동맥죽양경화성협착저관주환자치료중，로내지가치입능부사환자획득교호적림상획익여풍험비。방법회고성분석41례결혈성졸중환자（경뇌혈관조영현시IAS）적자료，분위지가조（행로내지가치입술）、약물조，관찰환자위수술기、수방기간주요종점사건。결과수술성공솔100％，위수술기대적병발증1례。평균수방11.2개월，12개월시대비NIHSS평분호전정황，지가조1례술후병발뇌경사후유류후유증，병발증발생솔4.5％，12개월수방시NIHSS평분교술전증가3분，여21례평균NIHSS평분하강5.4분。약물치료조환자12개월수방，뇌졸중복발솔10.5％，1례출원후4개월발생재차졸중，12개월시NIHSS평분증가4분，1례출원8개월후재차졸중，12개월시NIHSS평분증가5분，여17례12개월수방시평균NIHSS평분하강3.8분。결론대관주저적증상성IAS환자，행로내지가치입，환자가능획익경다。
Objective To explore intracranial stenting can get better clinical results for low perfusion in patients with symptomatic intracranial artery stenosis. Methods Methods A retrospective analysis was made on 41 ischemic stroke patients treated in our hospital from February 2010 to November 2013 (after cerebral angiography showed IAS). Patients were divided into stent group (intracranial stenting) and the drug group ,the primary endpoint was observed perioperation and follow‐up pe‐riod.Results The success rate of surgery was 100% ,1 case with perioperative complication. The mean follow‐up was 11.2 months ,the NIHSS score improved at follow up to 12 months ,1 patient in stent group complicated with cerebral infarction , the rate was 4.5% ,until 12‐month follow‐up ,NIHSS score increased by 3 points ,the average NIHSS score of 21 patients de‐creased 5.4 points. Drug group was followed up 12 months ,stroke recurrence rate was 10.5% ;1 case recurred 4 months after discharge ,NIHSS score increased 4 points at the 12th month ;1 patient occur again 8 months after discharge ,NIHSS score in‐creased 5 points at the 12th month ;the average NIHSS score of other 17 patients decreased 3.8 points at the 12th month. Pa‐tients with intracranial stent implantation with low perfusion features had more clinical benefit.Conclusion Conclusion For low perfusion in patients with symptomatic IAS ,intracranial stenting may get benefit more.
