机械取栓的临床研究新进展  

Mechanical thrombectomy:recent advancement of the clinical trials

作　　者：杨希孟 陆军[1] 王俊杰[1] 王大明[1] Yang Ximeng;Lu Jun;Wang Junjie;Wang Daming(Department of Neurosurgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院神经外科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730

出　　处：《中华外科杂志》2025年第3期203-207,共5页Chinese Journal of Surgery

摘　　要：2015年以来,机械取栓已成为治疗大血管闭塞引起的急性缺血性脑卒中的首选术式。过去10年间,在前期研究和临床实践的基础上,机械取栓在治疗策略的制定和患者选择等方面进行了极大的拓展,主要变化集中在桥接治疗的必要性、大梗死核心患者的获益、基底动脉取栓的可行性、中等血管闭塞取栓的可行性及取栓方式的选择等。通过研究者持之以恒地探索,机械取栓的适应证有所扩大,患者选择不断优化,再通率提高,为更多的缺血性脑卒中患者带来了获益。Mechanical thrombectomy has become the first choice for the treatment of acute ischemic stroke caused by large vessel occlusion since 2015.Over the past decade,on the basis of early clinical practice and research,mechanical thrombectomy has advanced rapidly,not only in expanding the therapeutic time window for mechanical thrombectomy but also in the necessity of bridging therapy,the benefits for patients with large infarct cores,basilar artery thrombectomy,thrombectomy for medium vessel occlusion,and the choice of thrombectomy methods.In the future,mechanical thrombectomy will bring benefits to more patients with ischemic stroke,through persistently explore,expanding the indications of mechanical thrombectomy,continuously optimizing patient selection,and improving the recanalization rate.

关 键 词：卒中 脑缺血 血管内手术 取栓 机械取栓 

分 类 号：R74[医药卫生—神经病学与精神病学]