血栓抽吸联合支架取栓在急性大血管闭塞性脑梗死患者治疗中的应用以及对闭塞血管再通率的影响  

Application of Thrombus Aspiration Combined with Stent Extraction in the Treatment of Patients with Acute Large Vessel Occlusive Cerebral Infarction and the Effect on the Recanalization Rate of Occluded Vessels

作　　者：蔡文强 李欣明 CAI Wenqiang;LI Xinming(Department of Neurosurgery,Guigang People's Hospital,Guigang,Guangxi Zhuang Autonomous Region,537100 China)

机构地区：[1]贵港市人民医院神经外科,广西贵港537100

出　　处：《中外医疗》2023年第17期17-20,共4页China & Foreign Medical Treatment

基　　金：贵港市科学研究与技术开发计划项目(贵科攻2021006)。

摘　　要：目的对急性大血管闭塞性脑梗死患者治疗中应用血栓抽吸、支架取栓对闭塞血管再通状况的临床改善效果进行探析。方法随机选取2020年5月—2021年2月贵港市人民医院收治的100例急性缺血性颅内大血管闭塞患者为研究对象,根据随机数表法将其分为对照组与研究组,每组50例,对照组单纯应用抽吸取栓治疗,研究组予以抽吸联合支架取栓法进行治疗,评估两组术后血管的再通情况及临床疗效。结果治疗后,研究组血管再通成功率为92.00%高于对照组的52.00%,差异有统计学意义(χ^(2)=19.841,P<0.05);经治疗,两组mRS评分均有明显好转,且研究组(2.12±0.34)分优于对照组的(2.79±0.45)分,差异有统计学意义(t=8.399,P<0.05)。结论与单纯应用抽吸取栓治疗相比,抽吸联合支架取栓治疗更具临床疗效,且有利于提升闭塞血管再通率,值得在临床治疗中应用推广。Objective To investigate and compare the clinical improvement effects of thrombus aspiration and stent extraction on the recanalization of occluded vessels in the treatment of patients with acute large vessel occlusive cerebral infarction.Methods A total of 100 patients with acute ischemic intracranial large vessel occlusion admitted to Guigang People's Hospital from May 2020 to February 2021 were randomly selected as the research objects.According to the random number table method,they were divided into control group and study group,with 50 cases in each group.The control group was treated with aspiration thrombectomy alone,while the study group was treated with aspiration combined with stent thrombectomy.Evaluated the recanalization of blood vessels after operation and the clinical efficacy of two groups.Results After treatment,the success rate of vascular recanalization in the study group was 92.00%higher than that in the control group(52.00%),and the difference was statistically significant(χ^(2)=19.841,P<0.05).After treatment,the mRS scores of the two groups were significantly improved,and the study group(2.12±0.34)points was better than the control group(2.79±0.45)points,the difference was statistically significant(t=8.399,P<0.05).Conclusion Compared with thrombus aspiration alone,thrombus aspiration combined with stent extraction is more clinically effective and can improve the recanalization rate of occluded vessels,which is worthy of application and promotion in clinical treatment.

关 键 词：血栓抽吸 支架取栓 急性大血管闭塞性脑梗死 临床应用 血管再通率 

分 类 号：R4[医药卫生—临床医学]