摘要
目的探讨急性前循环大血管闭塞性脑卒中患者应用单纯中间导管抽吸取栓与支架取栓治疗的临床疗效。方法选取2019年3月至2021年3月洛阳市第一人民医院接收的急性前循环大血管闭塞性脑卒中患者85例,将行支架取栓治疗的患者设为对照组(n=39),将行单纯中间导管抽吸取栓治疗的患者设为观察组(n=46)。回顾性分析两组患者临床资料,比较其血管再通情况与并发症及手术前后脑卒中量表(NIHSS)、改良Rankin评分量表(MRS)评分。结果两组患者术后NIHSS评分、MRS评分较术前均明显下降,且术后14 d NIHSS评分明显低于术后7 d NIHSS评分,观察组术后7 d、术后14 d NIHSS评分与术后14 d MRS评分分别为(9.79±6.28)分、(6.68±5.46)分、(1.10±0.70)分,均明显低于对照组(P<0.05);手术后观察组患者血管再通率为93.48%,显著优于对照组患者的76.92%(P<0.05),两组并发症发生率比较,差异无统计学意义(P>0.05)。结论单纯中间导管抽吸取栓治疗急性前循环大血管闭塞性脑卒中患者效果显著优于支架取栓治疗,可有效提高患者血管再通率,改善患者预后。
Objective To explore the clinical curative effect of simple intermediate catheter aspirating thrombectomy and stent thrombectomy in patients with acute anterior circulation large vessel occlusion stroke.Methods A total of 85 patients with acute anterior circulation large vessel occlusion stroke admitted to Luoyang First People's Hospital from March 2019 to March 2021 were selected.The patients receiving stent thrombectomy were set as the control group(n=39),and the patients receiving mere intermediate catheter aspirating thrombectomy were set as the observation group(n=46).Clinical data of the two groups were retrospectively analyzed,and vascular recanalization,complications,scores of National Institutes of Health Stroke Scale(NIHSS)and modified Rankin Scale(MRS)scores before and after surgery were compared.Results NIHSS score and MRS score of both groups decreased significantly after surgery,and the NIHSS score of 14 d after surgery was significantly lower than the NIHSS score of 7 d after surgery.The NIHSS score on 7 d and 14 d after surgery and MRS score on 14 d after surgery of the observation group were(9.79±6.28)points,(6.68±5.46)points and(1.10±0.70)points,respectively,which were significantly lower than those of the control group(P<0.05).After surgery,the vascular recanalization rate of the observation group was 93.48%,significantly better than 76.92%of the control group(P<0.05),and there was no statistical significance in the incidence of complications between the two groups(P>0.05).Conclusion In the treatment of acute anterior circulation large vessel occlusion stroke patients,the effect of mere intermediate catheter aspirating thrombectomy is significantly better than that of stent thrombectomy,which can effectively improve the vascular recanalization rate and prognosis of patients.
作者
蒋学文
赫利寒
Jiang Xuewen;He Lihan
出处
《中国疗养医学》
2022年第4期443-445,共3页
Chinese Journal of Convalescent Medicine
关键词
急性前循环大血管闭塞性脑卒中
支架取栓
中间导管抽吸取栓
临床疗效
Acute anterior circulation large vessel occlusive stroke
Stent embolectomy
Intermediate catheter aspirating thrombectomy
Clinical curative effect
