Solitaire AB支架取栓在急性脑梗死治疗中的应用  

Application of the mechanical thrombectomy of solitaire AB Stent on treating patients with acute cerebral infarction

作　　者：李丽[1] 魏德胜[1] 李淑君[1] 

机构地区：[1]湖北十堰市太和医院神经外科Ⅱ病区,十堰442000

出　　处：《中国实用神经疾病杂志》2015年第4期36-37,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨Solitaire AB支架取栓在急性脑梗死治疗中的临床应用效果。方法回顾性分析15例应用Solitaire AB支架取栓治疗的急性脑梗死患者的临床资料,分析Solitaire AB支架的临床治疗效果。结果 14例血管再通术成功,成功率93.33%。1例再通术失败,最后死亡,病死率6.67%。3例狭窄程度仍>80%,其他患者再通情况良好,其中mRS评分>2分6例(40.00%);存活的14例NIHSS评分改善程度均>10分。术前NIHSS评分为(16.07±1.94)分,术后降至(2.00±1.36)分,差异有统计学意义(t=22.944,P<0.001)。结论急性脑梗死患者应用Solitaire AB支架行取栓治疗具有较高的血管再通率,可有效改善患者预后。Objective To investigate the application value of the mechanical thrombectomy of solitaire AB stent on treating patients with acute cerebral infarction.Methods The data of 15 patients with acute cerebral infarction treated by the mechanical thrombectomy of solitaire AB stent were retrospectively analyzed and evaluated the clinical application value of solitaire AB stent.Results There were 14 cases of successful vascular recanalization,1 case of failure vascular recanalization and 3 cases of stenosis;14 cases of patients were survive and their NIHSS scores were more than 10.The NIHSS scores of patients before pre-operation（16.07 ± 1.94）were higher than these of postoperation（2.00±1.36）,which had significant differences（t=22.944,P〈0.001）.Conclusion The mechanical thrombectomy with Solitaire AB device has higher recanalization rate and better curative effect on treating patients with acute cerebral infarction.

关 键 词：SOLITAIRE AB支架 急性脑梗死 血管再通率 

分 类 号：R743.33[医药卫生—神经病学与精神病学]