中国医学创新2024，Vol.21Issue(28)：35-39,5.DOI:10.3969/j.issn.1674-4985.2024.28.008
3D-DSA路图引导下血管再通术对不同分型颅内动脉非急性闭塞患者的治疗效果及预后分析
Therapeutic Effect and Prognosis Analysis of 3D-DSA Roadmap Guided Vascular Recanalization in Patients with Different Types of Non-acute Intracranial Artery Occlusion
摘要
Abstract
Objective:To analyze the therapeutic effect of 3D digital subtraction angiography(3D-DSA)-guided roadmap vascular recanalization in patients with different types of non-acute intracranial artery occlusion and its influence on prognosis.Method:The clinical data of 60 patients with non-acute intracranial artery occlusion who underwent 3D-DSA roadmap-guided vascular recanalization from June 2020 to June 2023 were retrospectively selected in Neurosurgery Department of Ganzhou Municipal Hospital.Based on the occlusion time,length and collateral circulation characteristics,intracranial artery occlusion was classified into 3 types(21 cases of type Ⅰ,25 cases of type Ⅱ and 14 cases of type Ⅲ).The vascular recanalization status[thrombolysis in cerebral infarction(TICI)evaluation system],national institute of health stroke scale(NIHSS)score and modified Rankin scale(mRS)score before and after surgery,and complications,stroke and surgery-related death within 30 days after surgery were evaluated among patients with different occlusion types.Result:There were statistically significant differences in the rates of combined hypertension,stroke history and preoperative disease condition diagnosis among three types(P<0.05),but gender,age,combined diabetes,hyperlipidemia,and coronary heart disease,the proportion of preoperative NIHSS score≤3 scores and mRS score≤2 scores revealed no statistically significant differences(P>0.05).The success rate of vascular recanalization in 60 patients was 95.00%,there was no statistical significance among patients with three types(P>0.05).At 30 days after surgery,the NIHSS scores and mRS scores of the three types were significantly reduced compared with those before surgery(P<0.05),and the NIHSS scores and mRS scores of patients with type Ⅰ and type Ⅱ were significantly lower than those of patients with type Ⅲ(P<0.05).Within 30 days after surgery,the total incidence rate of complications in 60 patients was 6.67%,without no significant difference among three types(P>0.05).Within 30 days after surgery,there was 1 case of hemorrhagic stroke in patients with type Ⅱ and 1 case of hemorrhagic stroke in patients with type Ⅲ,and no ischemic stroke and surgery-related death occurred,there was no statistical significance among patients with three types(P>0.05).Conclusion:3D-DSA roadmap-guided vascular recanalization can be used to treat patients with different types of non-acute intracranial artery occlusion,and it has few postoperative complications and high safety and feasibility,and has potential therapeutic benefits.关键词
颅内动脉/非急性闭塞/3D-DSA路图/血管再通术/不同分型Key words
Intracranial artery/Non-acute occlusion/3D-DSA roadmap/Vascular recanalization/Different types引用本文复制引用
李茂港,刘翰文..3D-DSA路图引导下血管再通术对不同分型颅内动脉非急性闭塞患者的治疗效果及预后分析[J].中国医学创新,2024,21(28):35-39,5.基金项目
江西省卫生健康委科技计划项目(SKJP220210552) （SKJP220210552）
