急性脑梗死机械取栓治疗的研究进展  

Recent Developments in Mechanical Thrombectomy for the Treatment of Acute Cerebral Infarction

作　　者：张峰[1] 李鹏[1] 井山泉[1] 高金玲[1] 

机构地区：[1]河北医科大学第一医院神经外科,河北省石家庄市050031

出　　处：《中国全科医学》2017年第27期3332-3337,共6页Chinese General Practice

基　　金：河北省医学重点课题(20150645)

摘　　要：随着人们生活模式及饮食结构的改变,急性脑梗死已成为诱发老年患者死亡、残疾的重要原因,且患者一旦发病极容易引发瘫痪等一系列并发症,不仅增加患者的经济负担,还给其身心带来伤害。当前临床治疗主要采用动脉内溶栓、机械取栓、静脉溶栓等方式。本文主要介绍了机械取栓治疗急性脑梗死的研究现状,并对机械取栓与动脉内溶栓的治疗效果及可能出现的并发症进行分析比较,结果显示,与动脉内溶栓治疗相比,采用支架机械取栓治疗所获得的治疗效果更好,且继发性脑栓塞、术后脑出血和脑血管痉挛等并发症发生的可能性大幅降低,尤其对于急性脑梗死患者其治疗效果更好。With the change of people＇s lifestyle and dietary structure, acute cerebral infarction has become an important cause of death and disability in elderly patients, and it is very easy to cause a series of complications such as paralysis, which not only increases the patient＇s financial burden, but also brings harm to their body and mind. The current clinical treatments are mainly intra arterial thrombolysis, mechanical thrombectomy and intravenous thrombolysis. This paper mainly introduces the research status of mechanical thrombectomy in the treatment of acute cerebral infarction, and analyzes the therapeutic effect of mechanical thrombectomy and intra arterial thrombolysis, the results showed that compared with intra arterial thrombolysis, the therapetutic effect of mechanical thrombectomy was better, and the possibility of the occurrence of secondary cerebral embolism, postoperative cerebral hemorrhage and cerebral vasospasm and other complications was reduced greatly, especially for better patients with acute cerebral infarction.

关 键 词：急性脑梗死 支架 机械溶栓 治疗结果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]