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症状性脑动脉狭窄介入治疗的疗效观察(1)
http://www.100md.com 2011年8月1日 黄燕 陈浩波 林本 李福祥 古志辉 李又佳 周伟坤 陈东梅 莫俊宁 林俏明 李妙
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     摘要:目的 评价症状性脑动脉狭窄血管内支架成形术的安全性及近远期疗效。方法 回顾性分析2009年—2010年在我院行颅内外动脉支架成形术的10例症状性脑动脉狭窄病人,就手术安全性及术后近远期临床疗效进行分析。结果 本组10例病人,手术成功率达100%,8例病人术后症状消失,2例术后症状好转。随访4个月~18个月,所有病人无卒中临床复发,支架内均无血栓形成或内膜增厚。结论 血管内支架成形术治疗症状性脑动脉狭窄比较安全,近期疗效较好,其远期疗效有待于进一步继续追踪观察。

    关键词:脑动脉狭窄;血管内支架成形术;安全性

    中图分类号:R815 R743文献标识码:B 文章编号:1672-1349(2011)08-0962-03

    Clinical Observation onStent Implantation for Symptomatic Cerebral Artery Stenosis

    Huang Yan,Chen Haobo,Lin Ben,et al

    Department of Neurology,The First People’s Hospital of Zhaoqing (Zhaoqing 526021)

    Abstract:Objective To evaluate the effects and safety of endovascular stent implantation for treatment of symptomatic cerebral artery stenosis.Methods Ten patients (pts) with symptomatic cerebral artery stenosis adopted endovascular stent implantation.The effect and safety were studied.Results Endovascular stent implantationwas adoptdin lo pts with symptormatic cerebral artery stenosis,the clinical symptom was disappeared in 8 pts.The symptom was improved in 2 pts.During the further follow up period of 4 months to 18 months,all pts had no cerebral ischemia.The stenotic vascular were unobstructed and there was no intima hyperplasia.Conclusion Endovascular stent implantation for treatment of symptomatic cerebral artery stenosis was safe and effective,while its long-term effect needs further study.

    Key words:cerebral artery stenosis;endovascular stent implantation;cerebral ischemia

    介入治疗是近年神经科的热点和重大进展之一,血管内支架成形术治疗脑动脉狭窄具有即时开通狭窄动脉、微创和适应证广的优点,国内外应用逐渐增多[1]。我院应用血管内支架成形术治疗症状性脑动脉狭窄病人10例,现将术后情况及随访结果进行分析 ......

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