基于组织分层的急性缺血性卒中血管内治疗  

Endovascular treatment of acute ischemic stroke based on tissue stratification

作　　者：董威辰 肖露露 袁琳瑛 朱武生 Dong Weichen;Xiao Lulu;Yuan linying;Zhu Wusheng(Department of Neurology,Jinling Hospital,Nanjing University School of Medicine,Nanjing 210002,China)

机构地区：[1]南京大学医学院附属金陵医院(东部战区总医院)神经内科,210002

出　　处：《国际脑血管病杂志》2019年第11期830-836,共7页International Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金(81671170);南京市科技计划项目(201715007);全军医学科技青年培育计划拔尖项目(16QNP046)。

摘　　要：在中国卒中是首位死亡原因,缺血性卒中患者通过静脉溶栓和早期血管内治疗可以显著改善转归。随着研究的不断深入,血管内介入治疗的时间窗已从6 h扩展至24 h,组织分层在时间窗的扩展中起着至关重要的作用。文章对组织分层的含义、影像学评估方法及其在血管内治疗中的意义进行了综述。Stroke is the first cause of death in China.Intravenous thrombolysis and early endovascular treatment can significantly improve the outcome of patients with ischemic stroke.With the continuous deepening of research,the time window of endovascular interventional therapy has been extended from 6 h to 24 h.Tissue stratification plays a vital role in the expansion of time window.This article reviews the implications of tissue stratification,imaging assessment methods,and their significance in endovascular treatment.

关 键 词：卒中 脑缺血 血管内手术 磁共振成像 体层摄影术 X线计算机 灌注成像 病人选择 治疗结果 

分 类 号：R74[医药卫生—神经病学与精神病学]