探究同期椎动脉支架植入术与颈动脉内膜剥脱术的疗效价值

To evaluate the therapeutic value of simultaneous vertebral artery stenting and carotid endarterectomy

目的探究同期椎动脉支架植入术与颈动脉内膜剥脱术的疗效价值。方法选取2014年5月至2016年5月期间兴安盟人民医院颈动脉狭窄45例患者为试验对象,所有患者均同期进行颈动脉内膜剥脱术及椎动脉支架植入术治疗,随后采用统计学SPSS 17.0软件处理计算脑卒中发生率、死亡率、再狭窄率、并发症发生率、COS(格拉斯哥昏迷评分)评分、NIHSS评分、住院时间、住院费用。结果治疗后45例患者无死亡,其中1例出现再狭窄,占2.22%,1例出现过渡灌注综合征,占2.22%,经相应治疗后,均已好转;经治疗后COS评分(13.45±1.68)分、NIHSS(美国国立卫生研究院卒中量表)评分(6.32±1.42)分均优于治疗前(P<0.05);住院时间为(12.56±2.45)d,住院费用为(6.85±1.45)万元。结论对颈动脉狭窄、椎动脉狭窄患者同期实施颈动脉内膜剥脱术及椎动脉支架植入术效果显著。

Objective To investigate the therapeutic value of simultaneous vertebral artery stenting and carotid endarterectomy. Methods A total of 45 patients with carotid stenosis in Xing＇an League People＇s Hospital from May 2014 to May 2016 were enrolled. All patients underwent carotid endarterectomy and vertebral artery stenting. SPSS 17.0 software was used to calculate stroke incidence, mortality, restenosis rate, complication rate, COS（Glasgow Coma Score） score, NIHSS score, hospital stay, and hospitalization expenses. Results After treatment, 45 patients had no death, including 1 case of restenosis, accounting for 2.22%, and 1 case of transient perfusion syndrome, accounting for 2.22%. After corresponding treatment, they all improved; after treatment, COS score（13.45±1.68）, NIHSS score（6.32±1.42） were better than before treatment（P0.05） The hospitalization time was（12.56±2.45） d, and the hospitalization cost was（6.85±1.45） yuan. Conclusion Carotid artery stenosis and vertebral artery stenting are effective in patients with carotid stenosis and vertebral artery stenosis.