SWIM技术和ADAPT技术取栓治疗急性缺血性脑卒中的疗效分析  

Analysis of curative effect of SWIM and ADAPT technique for thrombus removal in acute ischemic stroke

作　　者：温志锋[1] 潘起晨[1] 王刚[1] 刘源[1] WEN Zhi-feng;PAN Qi-chen;WANG gang;LIU Yuan(Department of Neurostrgery,the First Hospital of China Medlical Unirersity,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院神经外科,辽宁沈阳110001

出　　处：《中国实用内科杂志》2021年第4期332-335,共4页Chinese Journal of Practical Internal Medicine

基　　金：辽宁省自然科学基金面上项目(2019-MS-370)。

摘　　要：目的评价SWIM取栓技术与ADAPT取栓技术在辽宁地区急性缺血性脑卒中患者的安全性和疗效。方法回顾性分析2018年6月至2020年6月在中国医科大学附属第一医院进行取栓的急性颅内大血管闭塞患者47例,按照手术方式分为SWIM组和ADAPT组。对2组开通的时间、开通的成功率、开通后出现的并发症以及术后3个月mRS评分进行统计分析。结果SWIM组患者的1次再通率、mTICI≥2b比例、术后NIHSS评分、3个月mRS≤2分的比例均高于ADAPT组,组间差异具有统计学意义(P<0.05)。患者的预后与术式选择、高血压病史、糖尿病史、术前NIHSS得分相关(P<0.05),与性别和年龄不相关(P>0.05)。结论在辽宁地区的急性缺血性脑卒中患者的救治中,SWIM取栓术的术后安全性和疗效性优于ADAPT取栓术。Objective To evaluate the safety and efficacy of SWIM thrombectomy technique and ADAPT thrombectomy technique in patients with acute ischemic stroke in Liaoning.Methods A retrospective analysis of 47 patients with acute intracranial large vessel occlusion who underwent embolization in the hospital of China medical univercity from June 2018 to June 2020 was divided into SWIM group and ADAPT group according to the surgical method.Statistical analysis was performed on the opening time,success rate of opening,complications after opening,and mRS scores 3 months after operation.Results The one-time recanalization rate,the ratio of mTICI≥2 b,the postoperative NIHSS score,and the ratio of m RS≤2 in the SWIM group were higher than those in the ADAPT group.The difference between the groups was statistically significant(P<0.05).The patient’s prognosis was related to the choice of surgery,history of hypertension,diabetes,and preoperative NIHSS score(P<0.05),but not to gender and age(P>0.05).Conclusion In the treatment of patients with acute ischemic stroke in Liaoning,the safety and efficacy of SWIM thrombectomy is better than ADAPT thrombectomy.

关 键 词：SWIM取栓技术 ADAPT取栓技术 急性脑梗死 卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]