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目的分析急性脑血管闭塞行机械碎栓、支架取栓联合动脉注射rt-PA的疗效。方法随机选自2013年7月~2014年7月本院收治的急性脑血管闭塞患者65例,按治疗方案不同分为两组,对比两组疗效与安全性。结果两组治疗后NIHSS评分均明显下降,手术前后组内对比差异有统计学意义(P<0.05)。结论支架取栓安全性优于机械碎栓,而机械碎栓操作更为简便,因而临床需根据实际情况进行合理选择。
Objective To analyze the curative effect of mechanical thrombectomy and stent thrombectomy combined with arterial injection of rt-PA in patients with acute cerebrovascular occlusion. Methods Totally 65 patients with acute cerebrovascular occlusion admitted to our hospital from July 2013 to July 2014 were divided into two groups according to the different treatment regimen. The curative effect and safety of the two groups were compared. Results After treatment, the NIHSS scores decreased significantly in both groups, with significant difference between before and after operation (P <0.05). Conclusions The safety of stent thrombectomy is better than that of mechanical thrombosis, while the operation of mechanical thrombectomy is more simple and convenient. Therefore, the clinical choice should be based on the actual situation.