罗根培;李润雄;吴志强;胡伟东;石铸;吕科峰;郑伟城;倪卓新;詹云浩;赵江浩;

• 1:东莞市人民医院

摘要(Abstract)：

目的探讨血管内取栓治疗急性后循环缺血性脑卒中的安全性及有效性。方法回顾性收集东莞人民医院卒中中心2017-06—2019-12收治的18例急性椎基底动脉闭塞患者的基线资料及临床资料,术后90 d对患者进行随访。采用改良Rankin量表(mRS)评估患者的临床预后,并根据mRS评分将患者分为预后良好组(mRS 0～2分)及预后不良组(mRS 3～6分),进行单因素分析影响急性椎基底动脉闭塞取栓患者临床预后的相关因素。结果 18例患者取得成功再通15例(83.3%),获得良好预后10例(55.5%)。取得良好预后组患者其发病至股动脉穿刺时间更短(t=-2.192,P=0.044),术前NIHSS评分(Z=-2.408,P=0.016)及术后24 h NIHSS评分(Z=-3.560,P=0.000)更低,ASTIN/SIR评分(Z=-2.253,P=0.024)及BATMAN评分(Z=-3.319,P=0.001)更高。结论血管内取栓治疗急性后循环缺血性脑卒中安全有效,发病至股动脉穿刺时间、术前NIHSS评分及侧支循环评分(ASTIN/SIR评分及BATMAN评分)与良好功能预后相关。

关键词(KeyWords)： 椎基底动脉闭塞;急性缺血性脑卒中;血管内治疗;支架;机械取栓

Abstract:

Keywords:

基金项目(Foundation): 广东省基础与应用基础研究基金(编号:2019A1515110031)

作者(Authors): 罗根培;李润雄;吴志强;胡伟东;石铸;吕科峰;郑伟城;倪卓新;詹云浩;赵江浩;

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