急性大脑中动脉M1段闭塞行血管内机械取栓的短期疗效与结果分析  

The Short-term Effect and Analysis of Mechanical Endovascular Thrombectomy in the Treatment of 28 Patients with Acute M1 Middle Cerebral Artery Occlusion

作　　者：倪金迪[1] 沈国锋[1] 张璐[1] 夏祝叶 刘斌[1] 郑进 李响[1] NI Jin-di;SHEN Guo-feng;ZHANG Lu;XIA Zhu-ye;LIU Bin;ZHENG Jing;LI Xiang(Minhang Hospital,Fudan University,Shanghai,201199,China)

机构地区：[1]复旦大学附属闵行医院,上海201199

出　　处：《血栓与止血学》2021年第4期550-552,共3页Chinese Journal of Thrombosis and Hemostasis

基　　金：闵行区卫生和计划生育委员会科研课题项目(编号:2019MW11);闵行区卫生和计划生育委员会科研课题项目(编号:2020MHZ100);复旦大学附属闵行医院院级科研课题项目(编号:2019MHJC09)。

摘　　要：目的分析血管内机械取栓治疗急性大脑中动脉M1段闭塞的临床效果。方法通过回顾性分析本院28例急性大脑中动脉M1段闭塞行血管内机械取栓的短期疗效。结果28例患者均为大脑中动脉M1段闭塞,26例(92.86%)血管再通良好,取栓后16例(57.14%)治疗有效。取栓后72 h内9例发生颅内出血转化,其中1例为症状性出血,行去骨瓣减压术;8例为非症状性脑出血。取栓后90天预后良好15例(53,57%)。结论血管内机械取栓治疗急性大脑中动脉M1段闭塞可获得良好血管再通,从而改善患者的神经功能,降低病死率和致死/致残率。Objective To analyze the clinical effect of in-vascular mechanical thrombosis in the treatment of arterial M1 blockage in the acute brain.Methods The short-term effect of mechanical hydrants in the closed blood vessels of artery M1 section in the acute brain was analyzed retrospectively.Results 28 patients were all arterial M1 blockages in the brain,26 cases(92.86%)had good blood vessel recommencement,and 16 cases(57.14%)were effective after thrombosis.Intracranial hemorrhage conversion occurred in 9 cases within 72 h after the embolism,of which 1 was symptomatic bleeding,decompression of bone flaps and 8 cases were non-symptomatic cerebral hemorrhage.There were 15 cases(53,57%)with a good prognosis 90 days after the bolt was taken.Conclusion Intravascular mechanical thrombosis treatment of acute arterial M1 segment occlusion in the brain can obtain good blood vessel retranscing,thereby improving the patient’s nerve function,reducing the fatality rate and fatal/disabling rate.

关 键 词：急性大脑中动脉闭塞 支架取栓术 效果 预后 

分 类 号：R743[医药卫生—神经病学与精神病学]