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目的:探析颅内血管支架成形术治疗缺血性脑血管病(ICVD)的效果,旨在为今后临床治疗脑血管病提供参考依据。方法:选取普宁市人民医院2013年6月至2017年1月收治的90例ICVD患者行颅内血管支架成形术治疗,观察患者血流动力学参数变化情况及Alberta卒中操作早期急性卒中分级算计断层扫描评分(ASPECTS)情况。结果:经治疗后,患者平均流速、峰值流速、舒张末期流速均明显慢于术前,而阻力指数、脉动指数明显高于术前,差异具有统计学意义(P<0.05);术后患者ASPECTS较术前明显提高,差异具有统计学意义(P<0.05)。结论:颅内血管支架成形术治疗ICVD的效果显著,术后并发症少,安全性高。
Objective: To investigate the effect of intracranial angioplasty in the treatment of ischemic cerebrovascular disease (ICVD), aiming to provide reference for clinical treatment of cerebrovascular disease in the future. Methods: Ninety patients with ICVD who were treated in Puning People’s Hospital from June 2013 to January 2017 were treated with intracranial hemangio stenting. The changes of hemodynamics parameters and the acute stroke grade in early stage of Alberta stroke were evaluated. Scanning score (ASPECTS) situation. Results: After treatment, the mean flow velocity, peak flow velocity and end-diastolic flow velocity were significantly lower than those before operation, while the resistance index and pulsatility index were significantly higher than those before operation (P <0.05). The postoperative ASPECTS Compared with the preoperative significantly increased, the difference was statistically significant (P <0.05). Conclusion: Intracranial stenting is effective in treating ICVD with less postoperative complications and high safety.