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目的评价血管内支架成形术治疗颅内动脉狭窄的短期疗效。方法对9例颅内动脉狭窄行血管内支架成形术患者的颅内血管行经颅多普勒超声(TCD)检测,其中大脑中动脉狭窄7例,基底动脉狭窄1例,椎动脉颅内段狭窄1例。结果所有患者成功地进行了支架成形术,术后临床TCD随访6个月,无血管再狭窄及缺血性脑卒中的发生。结论血管内支架成形术治疗颅内动脉狭窄的成功率高,可以改善狭窄远端的供血,但远期疗效有待于进一步随访。
Objective To evaluate the short-term curative effect of endovascular stenting for intracranial arterial stenosis. Methods Nine patients with intracranial arterial stenosis underwent angioplasty with intracranial angioplasty underwent transcranial Doppler ultrasonography (TCD), including 7 cases of middle cerebral artery stenosis, 1 case of basilar artery stenosis, 1 case of intracranial stenosis of vertebral artery 1 case. Results All patients underwent stent implantation successfully. Postoperative clinical TCD was followed up for 6 months without vascular restenosis and ischemic stroke. Conclusion The success rate of endovascular stenting in the treatment of intracranial arterial stenosis is high, which can improve the blood supply to the distal stenosis, but the long-term curative effect needs further follow-up.