颈内动脉狭窄血管内支架置入术治疗脑血管病的临床分析

Clinical analysis of carotid artery stent implantation for the treatment of cerebrovascular disease

目的探讨颈内动脉狭窄血管内支架置入术在防治脑血管病中的临床应用。方法对89例临床诊断脑梗塞和8例脑供血不足、11例短暂性脑缺血发作患者行全脑血管造影术，发现颈内动脉均有不同程度的狭窄，对狭窄段行支架置入术。结果108例颈内动脉狭窄血管内支架置入术均获得成功。平均狭窄程度从99％降至10％（P〈0．01）。术后随访半年到三年，所有患者均无缺血性事件发生。结论通过颈内动脉狭窄血管内支架置入术治疗缺血性脑血管病临床可靠，大大降低了脑血管病的复发率和致残率，值得临床推广应用。

Objectives To investigate the clinical application of internal carotid artery （ICA） stenosis angioplasty and stenting in cerebrovascular disease. Methods Cerebral angiography was performed on 89 patients with cerebral infarction , 8 patients with brain blood supply insufficiency and 11 patients with transient ischemie attack, The ste- nosis of various degrees in internal carotid artery was detected. Angioplasty and stenting were performed in the ste- nosis segment of internal carotid artery. Results Angiography and stenting were successful in all 108 patients. The stenosis degree of mean diameter in internal carotid artery was reduced from 99% to 10% （ p 〈 0.01 ）. No cer- ebral ischemic event occurred in all patients during the 0.5 to 3 years follow - up. Conclusions The use of inter- nal carotid artery stenosis angioplasty and stenting in the Clinical treatment of cerebral ischemic patient is feasible. The reerrenced ＆ disability rate of cerebrovascular disease were greatly reduced. It is worthy of clinical application.