| 血管内支架成形术治疗颅内动脉狭窄的临床研究 |
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| 引用本文： | 朱凤磊,肖国栋,高海宁,翟登月,徐格林,殷勤,朱武生,刘新峰.血管内支架成形术治疗颅内动脉狭窄的临床研究[J].临床神经病学杂志,2009,22(3). |
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| 作者姓名： | 朱凤磊 肖国栋 高海宁 翟登月 徐格林 殷勤 朱武生 刘新峰 |
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| 作者单位： | 1. 第二军医大学南京临床医学院,南京军区南京总医院,神经内科,南京,210002
2. 苏州大学第二附属医院神经内科 |
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| 基金项目： | 国家自然科学基金(30870847) |
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| 摘 要： | 目的评价血管内支架成形术治疗颅内动脉狭窄的有效性和安全性。方法39例颅内动脉狭窄患者根据数字减影全脑血管造影(DSA)检查分为前循环组26例,11例为短暂性脑缺血发作(TIA),15例为脑梗死(CI)]和后循环组(13例,3例为TIA,10例为CI),并给予血管内支架成形术治疗;比较两组手术成功率、术后动脉狭窄改善率及并发症发生率;随访6~12个月,复查DSA;比较手术前、后CI患者改良Rankin量表(mRS)评分和Barthel指数(BI)的变化。结果前后循环组手术成功率分别为92.3%和100%,术后动脉狭窄改善率均>70%,并发症发生率分别为19.2%和7.7%,两组间差异无统计学意义;随访期间前循环组10例、后循环组5例复查DSA,两组各有1例出现动脉再狭窄50%;术后6个月及12个月两组CI患者mRS评分、BI均较术前显著改善(均P<0.05);两组均无TIA及CI发生。结论血管内支架成形术可明显改善颅内动脉狭窄,降低脑血管事件的发生,安全有效。
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| 关 键 词： | 颅内动脉狭窄 支架成形术 |
Clinical study of endovascular stenting for intracranial artery stenosis |
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| ZHU Feng-lei,XIAO Guo-dong,GAO Hai-ning,et al..Clinical study of endovascular stenting for intracranial artery stenosis[J].Journal of Clinical Neurology,2009,22(3). |
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| Authors: | ZHU Feng-lei XIAO Guo-dong GAO Hai-ning |
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| Affiliation: | ZHU Feng-lei,XIAO Guo-dong,GAO Hai-ning,et al.Department of Neurology,Jinling Hospital,the Second Military Medical University,Nanjing 210002,China |
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| Abstract: | Objective To evaluation the efficacy and safety of endovascular stenting for intracranial artery stenosis.Methods By the checking of DSA,39 patients with intracranial artery stenosis were divided into the anterior circulation group 26 cases,including 11 cases of transient ischemic attack(TIA),15 cases of cerebral infarction(CI)] and posterior circulation group(13 cases,including 3 cases of TIA,10 cases of CI).All the patients were treated with endovascular stents.The rates of the stenting success,improveme... |
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| Keywords: | intracranial atherosclerotic stenosis stenting |
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