椎基底动脉供血不足支架治疗临床观察  

The therapeutic effect of stenting for vertebrobasilar insufficiency

作　　者：郑小军[1] 肖飞[1] 邓剑平[2] 郭生龙[3] 李会仓 张国栋[3] 

机构地区：[1]陕西省宝鸡市中医医院神经内科,宝鸡721000 [2]第四军医大学附属唐都医院 [3]陕西省人民医院

出　　处：《陕西医学杂志》2015年第3期342-343,共2页Shaanxi Medical Journal

摘　　要：目的:观察动脉支架置入治疗以头晕为主要表现的椎基底动脉供血不足的疗效。方法:选择以头晕为主要表现的椎基底动脉供血不足并动脉造影检查确定为椎基底动脉狭窄引起者122例,其中48例行动脉支架置入治疗(治疗组),74例给予常规治疗(对照组),观察两组治疗效果。结果:治疗组治疗7d、1月后治愈率、显效率、有效率、无效率分别为16.7%、27.0%、41.7%、14.6%和20.8%、29.2%、45.8%、4.2%,与对照组比较治疗7d时疗效无统计学差异,治疗1月时与对照组比较疗效有统计学差异。治疗半年后治疗组再住院率为12.5%,与对照组比较有统计学差异。结论:动脉支架置入治疗椎-基底动脉供血狭窄引起的头晕症状改善明显,且预后、预防效果较好。Objective：To observe the therapeutic effect of arterial stent implantation in the treatment of dizziness which was caused by vertebrobasilar artery stenosis.Methods：122cases were caused by vertebrobasilar artery stenosis which were diagnosised by arteriography.48 cases were treated by artery stenting,as the treatment group.The other 74 cases,treated with drug therapy,as control group,to observe the therapeutic effect between the two groups.Results：the After 7days and 1month,the cure rate,markedly effective,effective,ineffective in treatment group were：16.7%,27%,41.7%,14.6% and 20.8%,29.2%,45.8%,4.2%,compared with the control group,there were no significant difference after treatment for 7days,but significant differences after 1month.The re-check in rate was 12.5% after 6months,there were significant differences compared with the control group.Conclusion：Artery stenting for the treatment of dizziness caused by vertebral-basilar artery stenosis is more useful,the prognosis and prevention are better.

关 键 词：椎底动脉供血不足/治疗 支架 头晕 

分 类 号：R743[医药卫生—神经病学与精神病学]