發(fā)布時間：2018-05-30 07:09

  本文選題：缺血性卒中 + 側支循環(huán)��； 參考：《河北醫(yī)科大學》2017年碩士論文

【摘要】：缺血性卒中的發(fā)病率逐年上升。有研究表明,腦側支循環(huán)的程度可能延遲甚至阻止梗死進展。良好的側支循環(huán)可使患者有更好的臨床和功能結局,增加血管再通率,降低梗死后出血性轉化的風險,并可能延長血管內治療的時間窗。這些結果的基本原理是側支循環(huán)在實現(xiàn)血管再通之前保持缺血半暗帶的血液供應,減小梗死核心區(qū)的范圍從而可能有更好的臨床結局。近年來,影像學技術不斷發(fā)展,能更準確地對側支循環(huán)進行評估。了解側支循環(huán)的程度有助于合理選擇缺血性卒中的治療,并提高對臨床結局預測的準確性。側支循環(huán)的形成與很多影響因素有關,這些影響因素也決定著“側支治療”的方法和效果,“側支治療”也成為缺血性卒中治療的新方向。
[Abstract]:The incidence of ischemic stroke is increasing year by year. Studies have shown that the degree of collateral circulation may delay or even prevent the progression of infarction. Good collateral circulation can make patients have better clinical and functional outcomes, increase the rate of vascular recanalization, reduce the risk of hemorrhagic transformation after infarction, and may prolong the time window of intravascular therapy. The basic principle of these results is that the collateral circulation maintains the blood supply of the ischemic penumbra before the vascular recanalization reduces the size of the infarct core and may have a better clinical outcome. In recent years, imaging techniques have been developed to more accurately assess collateral circulation. Understanding the degree of collateral circulation is helpful to select the treatment of ischemic stroke and improve the accuracy of clinical outcome prediction. The formation of collateral circulation is related to many influencing factors, which also determine the method and effect of lateral branch therapy, and "lateral branch therapy" has become a new direction in the treatment of ischemic stroke.
【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3

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本文編號：1954408