椎动脉狭窄及其治疗  

Vertebral artery stenosis and its treatment

作　　者：林永娟[1] 徐运[1,2] 

机构地区：[1]南京东南大学医学院,210009 [2]南京大学医学院附属鼓楼医院神经科,210008

出　　处：《国际脑血管病杂志》2012年第9期706-711,共6页International Journal of Cerebrovascular Diseases

基　　金：十二五国家科技支撑计划（2011BA108803）;国家自然科学基金（81171085）

摘　　要：椎动脉狭窄常由动脉粥样硬化引起，由于症状不典型、无创性检查不易检出等，临床诊断较为困难。椎动脉狭窄患者的年卒中发生率较高，以有症状重度椎动脉狭窄为著，约20％的后循环卒中由椎动脉狭窄引起。文章就椎动脉狭窄的流行病学、自然史、诊断和治疗进行了综述。Vertebral artery stenosis （VAS） is often caused by atherosclerosis. The clinical diagnosis is more difficult because the symptoms are not typical, and the non-invasive examination is not easy to be detected. The annual stroke incidence is higher in patients with VAS, particularly the symptomatic severe vertebral artery stenosis. About 20% of posterior circulation strokes are caused by VAS. This article reviews the epidemiology natural history, diagnosis and clinical treatment of VAS.

关 键 词：椎底动脉供血不足 卒中 颅内动脉硬化 血管成形术 支架 椎动脉 

分 类 号：R743.3[医药卫生—神经病学与精神病学]