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目的探讨血管腔内支架成形术治疗椎动脉起始部和颅内段狭窄的效果对比。方法选取行血管腔内支架成形术治疗的老年椎动脉起始部狭窄患者36例为A组和老年椎动脉颅内段狭窄患者32例为B组。统计分析两组NHISS评分、狭窄程度和并发症发生情况。结果两组术前NHISS和狭窄程度比较,无显著差异(P>0.05),两组术后12个月的NHISS评分和狭窄程度比较,也无显著差异(P>0.05)。术后并发症的发生率比较,A组低于B组(P<0.05)。结论管腔内支架成形术治疗椎动脉起始部和颅内段狭窄均有较好效果,但治疗颅内段狭窄的并发症较高,术中需严格控制支架扩张压力,术中需注意以减少并发症发生。
Objective To investigate the effect of endovascular stent-graft in the treatment of vertebral artery stenosis and intracranial stenosis. Methods Thirty-six patients with stenosis at the beginning of vertebral artery in group A and 32 patients with stenosis of vertebral artery in the aged group underwent endovascular stent-graft. Statistical analysis of two groups of NHISS scores, the degree of stenosis and complications. Results There was no significant difference between the two groups in the preoperative NHISS and the degree of stenosis (P> 0.05). There was no significant difference between the two groups in NHISS score and stenosis at 12 months after operation (P> 0.05). The incidence of postoperative complications was lower in group A than in group B (P <0.05). Conclusion Endovascular stenting has a good effect in the treatment of the initial part of the vertebral artery and stenosis of the intracranial segment. However, the treatment of intracranial stenosis has a higher complication and strict control of the stent dilation pressure during operation. Reduce complications.