脑梗死患者脑血管造影和支架治疗的临床分析

Clinical analysis of cerebral angiography and carotid artery stent implantation in patients with cerebral infarction

目的:探讨脑血管造影及颈动脉支架植入术对脑梗死疾病的临床治疗价值。方法:选取我院2007-03~2010-10接收确诊的脑梗死患者80例,首先根据患者的脑血管造影结果及临床资料,分析颈动脉狭窄或闭塞的发生率及狭窄程度,然后将颈动脉狭窄的患者分为对照组(采用药物治疗)和治疗组(采用颈动脉支架植入术治疗),观察两组患者的临床效果以期为临床提供依据。结果:80例脑梗死疾病患者中颈动脉狭窄患者有60例,占75%,颈动脉闭锁的患者有20例,占25%;狭窄最频发的部位是颈内动脉(ICA,占40.3%);两组对颈动脉狭窄的改善均取得较好的治疗效果。结论:脑血管造影及颈动脉支架植入术对脑梗死疾病具有较高的临床价值,值得进一步推广应用。

Objective:To investigate the clinical significance of cerebral angiography and carotid artery stent implantation in patients with cerebral infarction.Methods:Eighty patients with cerebral infarction from Mar.2007 to Oct.2010 in our department were selected and divided into treatment group(carotid artery stent implantation)and control group(pharmacotherapy)according to angiographic results and clinical data.The incidence and degree of carotid artery stenosis or occlusion were analyzed and the treatment effects in both groups were evaluated.Results:There were 60 patients of carotid artery stenosis in 80 patients with cerebral infarction(75%),while carotid artery occlusion presented in 20 cases,which accounted for 25%.The most frequent site of stenosis was internal carotid artery(ICA,40.3%).Patients in treatment group achieved a significant better therapeutic effect comparing with patients in control group.Conclusion:Cerebral angiography and carotid artery stent implantation may achieve a better therapeutic effect comparing with conventional pharmacotherapy in patients with cerebral infarction,which should be further applied in clinical practice.