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目的分析机械取栓、药物溶栓及支架取栓技术治疗急性颅内血管闭塞的疗效。方法对27例急性颅内血管闭塞的患者进行腔内介入治疗。其中男性21例,女性6例。术后随访90 d,应用改良Rankin评分(mRS)进行疗效评价。结果应用支架取栓器23例,支架结合抽吸技术3例,动脉溶栓1例。腔内治疗后即刻再通率67%,症状性脑出血11%,90 d随访预后良好率33%,死亡率18.5%。结论特定急性缺血性脑血管病的腔内介入治疗是安全有效的方法。
Objective To analyze the curative effect of mechanical thrombectomy, drug thrombolysis and stent thrombectomy in the treatment of acute intracranial vascular occlusion. Methods Twenty-seven patients with acute intracranial vascular occlusion were treated with endovascular intervention. Among them, 21 males and 6 females. The patients were followed up for 90 days. The modified Rankin score (mRS) was used to evaluate the curative effect. Results The application of stent thrombolysis in 23 cases, stent with suction technique in 3 cases, arterial thrombolysis in 1 case. Immediately after endovascular treatment, the recanalization rate was 67%, symptomatic intracerebral hemorrhage 11%, good follow-up 90%, good prognosis 33%, mortality 18.5%. Conclusions Endovascular interventional therapy of specific acute ischemic cerebrovascular disease is a safe and effective method.