急性椎基底动脉阻塞急诊血管内治疗20例分析  

Clinical Analysis of Endovascular Treatment for 20 Patients with Acute Vertebrobasilar Obstruction

作　　者：张志[1] 朱凤水[2] 李慎茂[2] 缪中荣[2] 焦力群[2] 吉训明[2] 凌锋[2] 

机构地区：[1]广东医学院附属深圳市第四人民医院神经内科,518049 [2]首都医科大学宣武医院神经外科

出　　处：《解剖与临床》2009年第2期112-115,共4页Anatomy and Clinics

摘　　要：目的：评价血管内重建治疗急性椎基底动脉阻塞的疗效。方法：收集急性椎基底动脉阻塞20例，全脑造影后进行动脉溶栓和支架血管成形术等血管内重建治疗，比较手术前后NIHSS评分、TIMI血流等级及临床表现。结果：完全开通9例（45％），部分开通9例（45％），未开通2例（10％），总开通率为（90％）；继发脑出血1例（5％），死亡2例（10％）。术前、术后NIHSS评分分别为18．05±6．72、13．24±5．36（P〈0．01），术后TIMI靶血流可达2～3级，术后18例（90％）临床症状好转。结论：血管内重建是治疗急性椎基底动脉阻塞的有效方法。Objective ： To evaluate effects of endovascular treatment for acute vertebrobasilar obstruction （AVO）. Methods：Endovascular reeanalization through targeted thrombolysis and angioplasty with supporter and other therapies following whole brain visualization was performed on 20 AVO patients. The pre - and post - operative NIHSS scores, TIMI grades of blood flow and these patients＇ clinical manifestations were compared. Results：Nine patients （45%） got complete reeanalization, 9 （45%） partial reeanalization, 2 （10%） no recanalization, 1 （5%） secondary brain hemorrhage, 2 （ 10% ） death. The total reeanalization rate was 90%. The pre - and post - operative NIHSS scores were 18.05 ± 6.72 and 13.24 ± 5.36, respectively. After operaion, the TIMI grade of blood flow reached 2 -3 phase. The clinical symptoms in 18 patients （90%） were improved obviously after operations. Conclusions ： Endovascular recanalization is an effective and safe therapy for AVO.

关 键 词：急性 椎基底动脉阻塞 血管再通 溶栓 血管成形术 

分 类 号：R651.12[医药卫生—外科学]