中国当代医药2026，Vol.33Issue(12)：30-34,5.DOI:10.3969/j.issn.1674-4721.2026.12.06
抽吸取栓术与支架取栓术治疗大脑中动脉M1段急性闭塞的效果比较
Comparison of the effect of aspiration thrombectomy and stent thrombec-tomy in the treatment of acute occlusion of the M1 segment of the middle cerebral artery
摘要
Abstract
Objective To analyze the efficacy of thrombectomy with aspiration and stent thrombectomy in the treatment of acute occlusion of the M1 segment of the middle cerebral artery.Methods A retrospective analysis was conducted on the clinical data of 60 patients with early acute large vessel occlusion cerebral infarction who underwent emergency interventional treatment at the Stroke Center of The First Hospital Affiliated to Qiqihar Medical College from January 2020 to November 2025.According to different surgical methods,the patients were divided into the direct aspiration technique group(28 cases)and the stent thrombectomy group(32 cases).The surgical-related indicators(first thrombectomy recanalization rate,puncture to surgery completion time,etc.),complications(iatrogenic dissection,vasospasm,etc.)and clinical prognosis scores were compared between the two groups.Results The first thrombectomy recanalization rate and the success rate of the first thrombectomy device in the direct aspiration technique group were lower than those in the stent thrombectomy group,the incidence of vasospasm was higher than that in the stent thrombectomy group,the time from puncture to the end of the operation was shorter than that in the stent this mbectomy group,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in the final vascular recanalization rate,the incidence of symptomatic intracranial hemorrhage,and the 90-day modified Rankin scale score between the direct aspiration technique group and the stent thrombectomy group(P＞0.05).The total complication rate in the stent thrombectomy group was lower than that in the aspiration thrombectomy group,and the difference was statistically significant(P＜0.05).Conclusion The stent thrombectomy technique has a higher rate of reperfusion after the first attempt in the treatment of acute middle cerebral artery M1 segment occlusion,but the aspiration thrombectomy technique takes less operation time.The long-term prognosis of both is similar.In clinical practice,the surgical method should be selected on an individualized basis according to the characteristics of the lesion.关键词
直接抽吸取栓术/支架取栓术/大脑中动脉M1 段/急性闭塞Key words
Direct aspiration thrombectomy/Stent retriever thrombectomy/Middle cerebral artery M1 segment/Acute oc-clusion分类
医药卫生引用本文复制引用
廉亚东,王晓宇,王雷,王东霞,陈宇超,刘忠锦..抽吸取栓术与支架取栓术治疗大脑中动脉M1段急性闭塞的效果比较[J].中国当代医药,2026,33(12):30-34,5.基金项目
黑龙江省齐齐哈尔市科技计划联合引导项目(LHYD-2021078). （LHYD-2021078）
