论文部分内容阅读
目的通过对颅外段脑血管狭窄患者进行介入诊断及治疗,了解呼伦贝尔地区缺血性脑血管病患者的血管情况,并评价介入治疗的疗效及安全性。方法选取2009年8月至2014年1月入住呼伦贝尔市人民医院的70例颅外段脑动脉狭窄患者为研究对象,利用数字减影血管造影(DSA)技术对其进行介入诊断,并选出符合介入治疗的38例患者进行血管成形支架置入术,观察介入治疗效果、不良反应发生情况及预后情况。结果 70例颅外段脑动脉狭窄患者中有介入治疗指征的有38例,总共病变血管43支,均成功放置支架,成功率达到100%,血管都得到不同程度的扩张,缺血得到不同程度的改善,1例出现心率变缓的不良反应。结论对颅外段脑动脉狭窄进行DSA介入诊断及治疗,是一种有效的介入治疗手段,具有成功率高、安全性好、并发症少等优点。
Objective To study the interventional diagnosis and treatment of extracranial cerebrovascular stenosis patients to understand the vascular condition of patients with ischemic cerebrovascular disease in Hulunbeir region and to evaluate the efficacy and safety of interventional therapy. Methods Seventy patients with cerebral extracranial cerebral artery stenosis admitted to Hulunbuir City People’s Hospital from August 2009 to January 2014 were selected as the study subjects and the patients were diagnosed by digital subtraction angiography (DSA) Thirty-eight patients undergoing interventional therapy underwent angioplasty stenting. The effects of interventional therapy, adverse reactions and prognosis were observed. Results Seventy patients with extracranial cerebral artery stenosis were involved in the treatment of indications of 38 cases, a total of 43 lesions of the vessel, were successfully placed stent, the success rate of 100%, the blood vessels were different degrees of expansion, ischemia was different The degree of improvement, 1 case of adverse reactions with slow heart rate. Conclusion DSA interventional diagnosis and treatment of extracranial cerebral artery stenosis is an effective means of interventional therapy, with the advantages of high success rate, good safety and few complications.