症状性颅内动脉狭窄的血管内治疗  

Endovascular Treatment of Symptomatic Intracranial Artery Stenosis

作　　者：周泽仁[1] 陈锦俭[1] 蒋超[1] 

机构地区：[1]广西玉林市第二人民医院神经内科,玉林537000

出　　处：《中国医药导刊》2014年第1期48-49,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：分析血管内治疗方式在颅内动脉狭窄治疗中的效果。方法：选择2008年4月-2011年4月收治的颅内动脉狭窄患者36例，均采用血管内治疗，治疗组（20例）采用自膨式支架技术治疗，对照组（16例）采用单纯球囊型扩张术治疗，对比两组手术成功率、再狭窄率、并发症发生率，以及术前术后血管狭窄率和NIHSS评分变化情况。结果：治疗组手术成功率95.0%，再狭窄率5.0%，并发症发生率5.0%；对照组手术成功率87.5%，再狭窄率12.5%，并发症发生率12.5%。另外，两组术后在血管狭窄率和NIHSS评分上，治疗组均改善更明显；治疗组效果整体更理想（P〈0.05）。结论：血管内治疗方式在颅内动脉狭窄治疗中应用效果明显，自膨式支架技术效果更显著，值得临床推广。Objective：To analyze the effect of endovascular treatment on intracranial artery stenosis.Methods： 36 patients with intracranial artery stenosis were received and treated with endovascular treatment from April of 2008 to April of 2011 in our hospital in the present study. The self-expanding stent treatment technique was used in the treatment group that included 20 cases, and the simple balloon type expanding method was used in the control group that included 16 cases. Successful rate of operation, rate of restenosis, complication rate, preoperative and postoperative vascular stenosis rate, and NIHSS score changes in the two groups were compared.Results：The successful rate of operation, and rate of restenosis, and complication rate in the treatment group were 95.0%, 5.0%and 5.0%, respectively. In comparison, the successful rate of operation, and rate of restenosis, and complication rate in the control group were 87.5%, 12.5%and 12.5%, respectively. In addition, there were more obvious treatment effects in vascular stenosis rate and NIHSS score in the treatment group than that of the control group. The overall treatment effect was more ideal in the treatment group （P〈0.05）.Conclusion：The endovascular treatment method has more obvious effect in the treatment of intracranial artery stenosis, and the effect of the self-expanding stent technology is more significant, which deserves application widely.

关 键 词：颅内动脉狭窄 血管成形术 支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]