急性脑分水岭梗死采用血管内介入治疗临床疗效探析.docVIP

急性脑分水岭梗死采用血管内介入治疗临床疗效探析 　　DOI：10.16662/j.cnki.1674-0742.2017.23.119 　　[摘要] 目的 探讨对患急性脑分水岭梗死的患者采用血管内介入治疗的效果如何。方法 方便选取2014年1月―2016年2月在该院就诊的患急性脑分水岭梗死的患者72例，对这些患者都采用血管内介入治疗的诊治方法。观察这些患者手术前后的颈动脉狭窄情况，对这些患者的神经功能缺损进行评分。结果 经血管内介入治疗的方法治疗后，有68例（94.4%）急性脑分水岭梗死患者狭窄解除，有2例（5.6%）患者转为轻度狭窄；这些患者术后神经功能缺损评分（10.4±2.9）分也低于手术前的评分（24.5±5.3）分，差异有统计学意义（P0.05）。1年后回访这些患者，都没有急性脑分水岭梗死状况的复发。结论 结合患急性脑分水岭梗死的患者自身的身体状况，对他们采用血管内介入治疗的方法，能够控制并改善患者的病情，预防患者疾病的复发。 　　[关键词] 急性脑分水岭梗死；血管内介入；临床疗效 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）08（b）-0119-03 　　Clinical Efficacy of Endovascular Interventional Therapy for Acute Cerebral Watershed Infarction 　　CHEN Jie 　　Department of Neurology， Fujian Provincial Jinshan Hospital， Fuzhou， Fujian Province， 350028 China 　　[Abstracts] Objective This paper tries to investigate the effect of endovascular interventional therapy on patients with acute cerebral watershed infarction. Methods 72 patients with acute cerebral watershed infarction treated in this hospital from January 2014 to February 2016 were convenient selected and adopted endovascular interventional treatment. The carotid stenosis in these patients was observed before and after operation， and neurological deficits were scored in these patients. Results After the treatment of endovascular intervention， the stenosis of 68 cases（94.4%） of acute cerebral watershed infarction patients were relieved， 2 cases（5.6%） of patients turned into mild stenosis； postoperative neurological deficit of these patients was （10.4±2.9）points， lower than the preoperative score of （24.5±5.3）points， with significant difference（P0.05）. A year later， none of these patients had a recurrence of acute cerebral watershed infarction in the follow-up. Conclusion According to the physical condition of patients with acute cerebral watershed infarction， the endovascular intervention can control and improve the patient’s state of illness and prevent the recurrence of the disease. 　　[Key words] Acute cerebral watershed infarction； Endovascul