抽吸取栓术与支架取栓术治疗急性颅内血管闭塞的效果对比

Effect Comparison of Thrombectomy and Stent Thrombectomy in Treatment of Acute Intracranial Vascular Occlusion

目的 分析抽吸取栓术与支架取栓术治疗急性颅内血管闭塞的效果。方法 选取2022年1—12月在本院接受治疗的50例急性颅内血管闭塞患者为研究对象,根据取栓方法不同将其分为两组,每组25例,对照组实施支架取栓术,观察组实施抽吸取栓术,分析两组患者临床相关数据。结果 观察组患者穿刺-血管再通时间、一次完全再通手术时间均短于对照组(P<0.05),并且90d预后良好例数高于对照组(P<0.05);静脉溶栓、一次完全再通、全部血管闭塞再通、术后1周NIHSS、术中血栓逃逸、症状性颅内出血两组之间无统计学意义(P>0.05)。结论 在急性颅内血管闭塞的取栓方法中,抽吸取栓法具有手术时间短、操作简单的优点,可以在最短的时间内打开闭塞的血管,恢复缺血性疾病的脑灌注,建议在临床中进一步全面推广并应用。

Objective To analyze effect of thrombectomy and stent thrombectomy in treatment of acute intracranial vascular occlusion.Methods The paper reviewed and analyzed 50 patients with acute intracranial vascular occlusion in our hospital from January 2022 to December 2022,and divided them into two groups based on different thrombus removal methods,with 25 cases in each group.Control group was treated with stent thrombus removal surgery,while observation group with thrombus extraction surgery.Clinical data between two groups were analyzed.Results Observation group had shorter puncture vascular recanalization time and one complete recanalization surgery time than control group(P< 0.05),number of cases with good prognosis after 90 days was higher than control group(P<0.05).There was no statistically significant difference between two groups(P>0.05),including intravenous thrombolysis,complete recanalization,complete vascular occlusion recanalization,postoperative 1-week NIHSS,intraoperative thrombus escape,and symptomatic intracranial hemorrhage.Conclusion Thrombectomy method has advantages of short surgical time and simple operation for acute intracranial vascular occlusion,can open occluded blood vessels in the shortest possible time and restore cerebral perfusion of ischemic diseases,which is recommended for further promotion and comprehensive application in clinical practice.