本文選題：急性缺血性腦卒中 + Solitaire�。� 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:分析Solitaire AB支架在治療急性缺血性腦卒中的治療效果及評(píng)估其有效性及安全性并分析影響臨床預(yù)后的相關(guān)風(fēng)險(xiǎn)因素。方法:本文回顧性分析我院及我校附屬解放軍二六四醫(yī)院2014年11月-2016年6月期間使用solitaire AB支架取栓治療急性缺血性腦卒中患者61例,入選病例均符合急性缺血性腦卒中閉塞診斷標(biāo)準(zhǔn),術(shù)前都行頭顱CT排除顱內(nèi)出血及行CTA或MRA證實(shí)大動(dòng)脈血管閉塞。通過(guò)分析61例患者經(jīng)過(guò)solitaire AB支架治療后血管再通情況、術(shù)后并發(fā)癥、臨床預(yù)后及分析影響預(yù)后相關(guān)風(fēng)險(xiǎn)因素。結(jié)果:61例確診為AIS患者,入院后給予患者行solitaire AB取栓,男性患者36例(59%),女性患者25例(42%);年齡30~86歲,平均(69.7±12.3)歲;從入院時(shí)的美國(guó)衛(wèi)生研究院卒中量表NIHSS(National Institutes of Health Stroke Scale)(22.5±5.8)提高至出院時(shí)NIHSS評(píng)分(4.33±3.73),(P㩳0.01);54例患者血管再通[89%(TICI"g2b)],其中19例為TICI為2b級(jí),35例為3級(jí);4例患者死亡,死亡率達(dá)6.6%;3月隨訪良好預(yù)后率為45%(MRS"f2);經(jīng)單因素卡方檢驗(yàn)及l(fā)ogistic回歸分析得出糖尿病、房顫、術(shù)前GCS評(píng)分、術(shù)前NIHSS評(píng)分是影響預(yù)后獨(dú)立風(fēng)險(xiǎn)因素。結(jié)論:1.Solitaire AB支架在AIS中有較高的血管再通率,有效改善患者預(yù)后。2.機(jī)械取栓時(shí)間窗并不是固定的,可根據(jù)患者情況適當(dāng)放寬,患者術(shù)后效果也較滿意。3.糖尿病、房顫、吸煙、嗜酒、術(shù)前GCS、術(shù)前NIHSS評(píng)分是患者預(yù)后獨(dú)立風(fēng)險(xiǎn)因素。
[Abstract]:Objective: to analyze the therapeutic effect of Solitaire AB stent in the treatment of acute ischemic stroke, evaluate its effectiveness and safety, and analyze the related risk factors affecting the clinical prognosis. Methods: a retrospective analysis of the use of solitaire AB stent in our hospital and the 264 affiliated Liberation Army Hospital of China in June -2016 November 2014 61 patients with acute ischemic stroke were treated with acute ischemic stroke occlusion. Before operation, intracranial hemorrhage was excluded and CTA or MRA confirmed large artery occlusion. After the analysis of 61 patients after Solitaire AB stent treatment, postoperative vascular recanalization, postoperative complications, clinical prognosis and analysis were analyzed. Outcome related risk factors. Results: 61 cases were diagnosed as AIS patients and were given Solitaire AB thrombectomy after admission, 36 male patients (59%), 25 female patients (42%); age 30~86 years, average (69.7 + 12.3) years of age; from the admission to the hospital of American Institutes of health apoplexy (National Institutes of Health Stroke Scale) (22.5 + 5.8) (22.5 + 5.8) The NIHSS score was (4.33 + 3.73), (P? 0.01), 54 patients were re passed [89% (TICI "G2B)], 19 were TICI 2B, 35 were 3, 4 patients died, the death rate was 6.6%, and the good prognosis rate was 45% (MRS" F2) in March; the single factor chi square test and logistic regression analysis showed that diabetes, atrial fibrillation, preoperative GCS score, NIHSS review before operation Conclusion: 1.Solitaire AB stent has high vascular repassage rate in AIS. The time window of.2. mechanical thrombectomy is not fixed effectively to improve the prognosis of patients. It can be relaxed according to the patient's condition. The postoperative effect of the patient is also satisfied with.3. diabetes, atrial fibrillation, smoking, alcohol, GCS, and preoperative NIHSS score. An independent risk factor for the prognosis.

【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R743.3

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相關(guān)期刊論文 前10條

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本文編號(hào)：1838056