26例椎基底动脉系统短暂性脑缺血发作患者血管成形术后疗效观察  

Clinical Efficacy of Angioplasty for 26 Patients Suffered from Trunsient Ischemic Affack of Vertebrobasilay System

作　　者：陈艳[1,2] 缪中荣[2] 李慎茂[2] 朱凤水[2] 焦力群[2] 凌锋[2] 

机构地区：[1]四川省资阳市第一人民医院神经内科,641300 [2]首都医科大学宣武医院介入治疗科

出　　处：《医学研究杂志》2009年第4期90-93,共4页Journal of Medical Research

摘　　要：目的评价椎基底动脉系统短暂性脑缺血发作(TIA)患者血管成形术后近期疗效。方法回顾性分析26例椎基底动脉系统TIA行血管成型术患者,随访6～9个月,平均(7±0.25)月,就术后短期内临床疗效以及其影响因素进行分析。结果对26例患者31条病变血管行了支架成形术,技术成功率为100%,狭窄率从术前(82.50±9.95)%降至术后(4.2±3.8)%,术中1例出现脑缺血发作,术后随访6～9个月,24例临床症状完全消失,有效率92.3%,2例症状再发,其中1例术后再狭窄与服抗血小板药物不规范有关,1例血压未控制正常。结论血管成形术治疗椎基底动脉系统短暂性脑缺血发作的近期疗效令人满意,远期疗效仍有待于进一步临床研究。Objective To evaluate the recent curative effect of the angioplasty of vertebrobasilar system TIA patients. Methods 26 patients of vertebrobasilar system TIA after accepting angioplasty were analyzed retrospectively and were followed - up during 6 months to 9 months with average（7±0.25） months. We analyzed the short - period curative effect of the angioplasty and risk factors. Results 26 patients were accepted angioplasty of 31 vessels, with achievement ratio of technique being 100% , mean preoperative stenosis （82.50±9. 95） % reducing to（4.2± 3.8） %. 1 patient appeared transient ischemic attacked following - up for 6 - 9months. The symptom disappeared in 24 patients. 2 patients relapsed. One was related to take medicine irregularly,the other was related to the hypertension. Conclusion The recent curative effect of angioplasty to vertebrobasilar system TIA patients was satisfactory,but long - ferm efficacy needs to be observed in the further.

关 键 词：椎基底动脉 重度狭窄 TIA 血管成型 疗效评价 

分 类 号：R743.31[医药卫生—神经病学与精神病学] R654.3[医药卫生—临床医学]