急性缺血性脑卒中血管再通方法的比较性研究

Recanalization of Acute Ischemic Stroke Methods Comparative Research

急性缺血性脑卒中(AIS)的预后与急性期的血管再通密切相关。评价血管再通效率的标准有3条,即血管再通率、临床转归率和不良反应。AIS血管再通的方法有静脉溶栓、动脉溶栓、动静脉溶栓、机械再通术,机械再通术又分为支架再通术和机械碎栓/取栓术再通术。从血管再通效率的评价标准而言,机械再通术虽血管再通率高,但不良反应较多,且临床转归率并未提高多少;而静脉溶栓虽血管再通率不及机械再通术,但临床转归率也不低,不良反应明显减少,是首选之血管再通治疗方法。

Acute ischemic stroke （AIS） prognosis is closely related to the acute phase of recanalization. There are three evaluation criteria of efifciency of recanalization, namely blood vessels, clinical outcome rate and the rate of pay. AIS recanalization method with intravenous thrombolysis, artery thrombolysis, arteriovenous thrombolysis, mechanical recanalization. Mechanical recanalization is divided into stent recanalization and mechanical broken bolt/take bolt recanalization. Exactly what kind of method, from the evaluation standard of recanalization efficiency, is better？ Is the preferred treatment？ The results of the comparative study showed that mechanical recanalization had high recanalization rate but with much untoward effect and low clinical outcome rate. Intravenous thrombolysis is the ifrst choice for recanalization treatment because of high clinical outcome rate with decreased signiifcantly fee, though a less mechanical recanalization rate of blood vessels.