摘要
Abstract
Objective To comparatively analyze clinical efficacy and prognosis of arteriovenous joint thrombolysis and me-chanical thrombectomy for acute cerebral infarction. Methods Retrospective analysis was made about 80 patients with acute cerebral infarction our hospital received from January 2008 to June 2013 ,including the use of combined intravenous thrombolyt-ic therapy in 42 cases ,the use of mechanical thrombectomy treatment in 38 cases.Barthel score is determined by means of the treatment efficiency ;thrombolysis in myocardial ischemia (TIMI) was used to identify the recanalization.The data of two groups of patient’s treatment ,short-term and long-term prognosis were analyzed comparatively.Results Arteriovenous com-bined thrombolytic therapy group and mechanical thrombectomy group :efficiency of treatment were 95% ,100% respectively , no significant difference (P>0.05);the recanlization rates were 71.4% ,100% ;≤30% residual stenosis rates were 45.2% , 15.7% (P<0.05);acute vascular occlusion rates were 47.6% ,0 (P<0.05);mortality was 11.9% ,0(P<0.05) .Conclusion Arteriovenous combined thrombolysis and mechanical thrombectomy efficiency of two groups was similar ,there was no sig-nificant difference. However ,mechanical thrombectomy group’s short and long term prognosis is far superior to that of arteri-ovenous thrombolysis group. The effect ,safety ,late prognosis of mechanical thrombectomy for acute cerebral infarction are good and worthy of promotion.关键词
急性脑梗死/动静脉联合溶栓/机械取栓Key words
Acute cerebral infarction/Combined intravenous and intraarterial thrombolysis/Mechanical embolectomy分类
医药卫生
