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目的观察急诊血管内支架介入成形术治疗椎、基底动脉脑梗死急性期的临床疗效及预后。方法 84例椎、基底动脉急性期脑梗死患者随机分为两组,对照组53例,给予单纯动脉溶栓术治疗;观察组31例,给予急诊血管内支架介入成形术治疗,观察两组患者的临床疗效及预后。结果观察组的血管再通率为100%,术后基本痊愈80.6%;对照组的血管再通率为80.5%,术后基本痊愈62.3%。两组患者血管再通率及术后24 h NIHSS评分比较差异有统计学意义(P<0.05)。结论在椎、基底动脉急性期脑梗死患者治疗中血管内支架介入成形术较单纯动脉溶栓术治疗能明显提高血管再通率、改善预后。
Objective To observe the clinical effect and prognosis of emergency endovascular stenting in the acute stage of vertebral and basilar cerebral infarction. Methods Eighty-four patients with acute cerebral infarction of vertebral and basilar artery were randomly divided into two groups: control group (n = 53) and thrombolysis alone group (n = 31). The patients in observation group were treated with emergency endovascular stent grafting. The clinical efficacy and prognosis. Results The rate of recanalization in the observation group was 100%, and the rate of recanalization was 80.6% in the observation group. The recanalization rate in the control group was 80.5%, and the rate of recanalization in the control group was basically 62.3%. The recanalization rate of the two groups and NIHSS score at 24 h after operation showed significant difference (P <0.05). Conclusion In the treatment of patients with acute cerebral infarction of vertebral and basilar artery, the interventional stent thrombolysis can significantly improve the rate of recanalization and improve the prognosis.