| 赵永昌,陈士新,刘亚民,李 强,冷保山.血管内介入治疗颈动脉、椎动脉狭窄的临床疗效和安全性[J].,2017,17(4):696-698 |
| 血管内介入治疗颈动脉、椎动脉狭窄的临床疗效和安全性 |
| Efficacy and Safety of Intravascular Intervention in the Treatment of Carotid and Vertebral Artery Stenosis |
| 投稿时间：2016-05-12 修订日期：2016-05-31 |
| DOI：10.13241/j.cnki.pmb.2017.04.024 |
| 中文关键词: 血管内介入 颈动脉狭窄 椎动脉狭窄 |
| 英文关键词: Intravascular intervention Carotid artery stenosis Vertebral artery stenosis |
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| 中文摘要: |
| 摘要 目的：研究血管内介入治疗颈动脉、椎动脉狭窄的临床疗效和安全性。方法：选择2011年3月～2016年3月在我院进行诊治的210例颈动脉和椎动脉狭窄患者狭窄程度在70%~99%之间，颈、椎动脉直径狭窄率超过70%，所有患者均进行了血管内介入治疗，观察患者的临床表现、DSA和血管超声检查结果和围手术期并发症，并进行随访。结果：经颈部血管听诊发现，有163例(77.62%)患者出现血管杂音，合并高血压103例(49.05%)、高脂血症123例(58.57%)、吸烟76例(36.19%)、糖尿病98例(46.67%)、高同型半胱氨酸血症13例(6.19%)；DSA检查发现有126例患者为单纯颅外段颈动脉狭窄，51例患者为单纯椎动脉起始部狭窄，22例患者为颅外段颈动脉合并椎动脉狭窄；术后的颈、椎动脉平均狭窄率为(4.15±7.26)%，明显低于术前的(79.25±6.34)% (P<0.05)；所有患者均未出现严重神经系统并发症和手术期死亡；术后随访8～36个月，均未出现与支架相关的短暂性脑缺血和新发脑梗死。结论：血管内介入治疗颈动脉、椎动脉狭窄安全有效，具有较高的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To study the efficacy and safety of intravascular intervention in the treatment of carotid and vertebral artery stenosis. Methods: 210 cases with carotid arterystenosis and vertebral arterystenosis who were treated in our hospital from March 2011 to March 2015were selected, the carotid and vertebral artery diameter stenosis rate＞70%. All patients were treated with intravascular intervention. The clinical manifestations, DSA and vascular ultrasound examination resultsand perioperative complications were observed, and the patients were follow-up. Results: Through the neck vascular auscultation,there were 163 cases (77.62%) with vascular murmur, 103 cases(49.05%) with hypertension, 123 cases(58.57%) with hyperlipidemia, 76 cases (36.19%) with diabetes, 98 cases (46.67%) with smoking, 13 cases (6.19%) with homocysteine; DSA examination found 126 cases with extracranial carotid stenosis, 51 cases with the vertebral artery stenosis, 22 cases with carotid artery combined with extracranial vertebral artery stenosis; the average postoperative carotid and vertebral artery stenosis rate was (4.15±7.26)% was lower than that before surgery(79.25±6.34)% (P < 0.05); all patients had no severe neurological complications and surgical mortality; after followed up for 8~36 months postoperatively, all patients did not appear transient ischemic and new cerebral infarction associated with stent. Conclusion: Intravascular interventional treatment of the carotid artery and vertebral artery stenosis is safe and effective, and has high clinical value. |
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