单纯球囊扩张或结合支架置入治疗NIATO的疗效分析  

作　　者：陈敏敏 苏杭 孙浙浙 曹庆华[2] 

机构地区：[1]宁波大学医学部,315021 [2]宁波大学附属第一医院,315020

出　　处：《浙江临床医学》2024年第12期1784-1786,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020KY875)。

摘　　要：目的探讨单纯球囊扩张或结合支架置入治疗症状性非急性颅内动脉闭塞(NIATO)的疗效。方法回顾性分析2019年8月至2022年4月本院20例使用单纯球囊扩张或结合支架置入治疗的NIATO患者的临床资料,使用美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表(mRS)评价其成功率、并发症及术后神经功能恢复情况。结果20例患者中,19例手术成功(95%);手术并发症3例:1例新发小梗死,1例无症状性蛛网膜下腔出血,1例术后24 h内大面积脑梗死亡。18例患者术后1周NIHSS评分和术后3个月mRS评分与术前比较,差异有统计学意义(P<0.05)。结论在严格的评估和筛选后,使用单球囊扩张或结合支架置入治疗NIATO是有效可行的,且闭塞时间及长度越短、血管走形越平直,成功率越高。Objective To investigate the efficacy of balloon dilatation alone or combined with stent implantation in the treatment of symptomatic non-acute intracranial arterial occlusion(NIATO).Methods The clinical data of 20 patients with NIATO treated by balloon dilation alone or combined with stent implantation in our hospital from August 2019 to April 2022 were retrospectively analyzed.The National Institutes of Health Stroke Scale(NIHSS)and modified Rankin scale(mRS)were used to evaluate the success rate,complications and postoperative neurological function recovery.Results The operation was successful in 19 patients(95%).Surgical complications occurred in 3 cases:1 case of new small infarction,1 case of asymptomatic subarachnoid hemorrhage,and 1 case of massive cerebral infarction within 24 hours after operation.The NIHSS score at 1 week after operation and the mRS Score at 3 months after operation were significantly different from those before operation in 18 patients(P<0.05).Conclusion After strict evaluation and screening,single balloon dilatation or combined with stent implantation is effective and feasible in the treatment of NIATO,and the shorter the occlusion time and length,the straighter the vessel shape,the higher the success rate.

关 键 词：颅内动脉 非急性闭塞 球囊扩张 支架置入 临床疗效 

分 类 号：R651.1[医药卫生—外科学]