颅内血管支架成形术治疗缺血性脑血管病的效果观察

The Observation of Intracranial Stent Angioplasty in the Treatment of Ischemic Cerebrovascular Disease

目的:探讨颅内血管支架成形术治疗缺血性脑血管病的效果。方法:选取笔者所在医院2008年1月-2012年1月收治的36例缺血性脑血管疾病患者为研究对象,患者均接受颅内血管支架成形术治疗,术后对患者随访2年,对患者行ASPECTS评分、TCD及DSA评分,并观察患者术后并发症发生情况。结果:36例患者均顺利完成手术,与术前相比,患者术后1、3、6、12、24个月舒张末期流速、峰值流速、平均流速较术前显著减慢,而脉动指数、阻力指数则显著升高,比较差异有统计学意义(P<0.05)。与术前相比,患者术后1、3、6、12、24个月ASPECTS评分显著提高,与术前比较差异有统计学意义(P<0.05)。术后患者发生血管痉挛1例,脑出血2例,心率下降1例,血压下降1例。结论:颅内血管支架成形术能有效改善缺血性脑血管疾病患者动脉狭窄,且患者术后并发症低,安全有效。

Objective：To study the effect of intracranial stent in the treatment of ischemic cerebrovascular disease. Method：Thirty-three cases of patients with ischemic cerebrovascular disease in the hospital from January 2008 to January 2012 were searched as the research object. The patients were treated by intracranial stent angioplasty,postoperative patients were followed up for 2 years. The ASPECTS of patients,TCD,DSA,postoperative complications of the patients were observed. Result：36 cases of patients were successfully completed surgery,postoperative patients with 1,3,6,12 and 24 months of end-diastolic velocity, peak velocity,mean velocity of preoperative were significantly slow than the preoperative,while pulsation index and drag index were increased significantly,the differences were statistically significant（P〈0.05）. Compared with the preoperative,postoperative patients with 1,3,6,12 and 24 months ASPECTS score increased significantly,the differences were statistically significant（P〈0.05）.There were vasospasm in 1 case,cerebral hemorrhage in 2 cases,heart rate decreased in 1 case, drop in blood pressure in 1 case postoperative. Conclusion：Intracranial stent plasty can effectively improve artery stenosis in patients with ischemic cerebrovascular disease,and patients with postoperative complications is low,safe and effective.