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动脉溶栓联合支架取栓与静脉溶栓治疗急性后循环梗死的临床效果

王亮,史万超,苏治国,刘晓智,刘振林   

  1. 天津市第五中心医院
  • 收稿日期:2012-11-05 修回日期:2012-12-20 出版日期:2013-09-15 发布日期:2013-09-15
  • 通讯作者: 王亮

The Clinical Analysis of Intra-arterial Thrombolysis and Embolectomy with Stent vs IntravenousThrombolysis to cure Acute Posterior Circulation Infarction

  • Received:2012-11-05 Revised:2012-12-20 Published:2013-09-15 Online:2013-09-15

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摘要：

【摘要】  目的  评价动脉溶栓联合支架取栓与单纯静脉溶栓治疗急性后循环脑梗死的效果。方法  回顾性分析23例经动脉溶栓（动脉溶栓组）和22例经静脉溶栓（静脉溶栓组）的病例资料，分析2组的临床预后及出血和死亡发生情况。 结果    2组溶栓前的NIHSS评分差异无统计学意义[ （15.66±5.22）vs（16.34±6.57），t=0.44]；90d后，静脉溶栓组的预后不良比例高于动脉溶栓组（72.7%vs39.1%，χ2=5.14，P＜0.05）；2组出血及死亡比例差异无统计学意义。  结论   在后循环脑梗死中，动脉溶栓联合机械碎栓远期恢复效果优于单纯静脉溶栓。

关键词: 动脉溶栓, 静脉溶栓, 支架, 后循环梗死

Abstract: The Clinical Analysis of Intra-arterial Thrombolysis and Embolectomy with Stent vs IntravenousThrombolysis to cure Acute Posterior Circulation Infarction Wang Liang,Shi Wan-chao, Su Zhi-guo,Huai Peng,Liu Xiao-zhi,Liu Zhen-lin. (Tianjin 5th center hospital,300450) Abstract: Objective: The clinical analysis of Intra-arterial thrombolysis and embolectomy with stent vs intravenous thrombolysis to cure Acute posterior circulation infarction Methods: To analysis the 23 Intra-arterial thrombolysis and embolectomy with stent and 22 intravenous thrombolysis of Acute posterior circulation infarction from 2009.6 to 2012.6. Results: the average score of NIHSS is 15.66±5.22 of intravenous thrombolysis of Acute posterior circulation infarction. the average score of NIHSS is 15.66±5.22 of Intra-arterial thrombolysis and embolectomy with stent of Acute posterior circulation infarction.there is no statistic meaning. The score of mRS in the group of intravenous thrombolysis after 90 days between 0～1 has 6 cases and 2～6 has 16 cases. The score of mRS in the group of Intra-arterial thrombolysis and embolectomy with stent after 90 days between 0～1 has 14 cases and 2～6 has 9 cases.The results of Intra-arterial thrombolysis and embolectomy with stent are better than intravenous thrombolysis to cure Acute posterior circulation infarction（P＜0.05）. Conculation: To treat Acute posterior circulation infarction, there are better results in Intra-arterial thrombolysis and embolectomy with stent than intravenous thrombolysis.

Key words: Intra-arterial thrombolysis, intravenous thrombolysis, Stent, Acute posterior circulation infarction