摘要
探讨县级综合卒中中心应用Solitaire支架机械取栓治疗急性脑血管闭塞的安全性及有效性。回顾性分析2021年1月—2023年12月就诊于烟台市蓬莱人民医院卒中中心的25例颅内大血管急性闭塞患者,应用Solitaire取栓支架完成机械取栓,探讨其安全性和有效性。记录患者的年龄、性别、发病至入院时间(ODT),入院至穿刺时间(DPT)、穿刺至再通时间(PRT),对比术前及术后24 h NIHSS评分变化,评价血管再通情况、并发症发生情况、术后90天预后情况。结果显示,取栓后即刻血管成功再通22例,再通率为88.00%。术后24 h NIHSS评分为0~27分,平均术后24 h NIHSS评分为(11.68±10.93)分,与术前比较,差异有统计学意义(t=2.192,P=0.038)。术后90天mRS评分≤2分者17例,预后良好率为68.00%。研究发现,县级综合卒中中心应用Solitaire支架机械取栓治疗急性脑血管闭塞的效果显著。
This study aims to explore the safety and effectiveness of Solitaire stent mechanical thrombectomy in the treatment of acute cerebrovascular occlusion in county-level comprehensive stroke centers.A retrospective analysis was conducted on 25 patients with acute intracranial large vessel occlusion who were admitted to the Stroke Center of Yantai Penglai People’s Hospital from January 2021 to December 2023,all of whom underwent mechanical thrombectomy with Solitaire thrombectomy stents,and the safety and effectiveness of the treatment were investigated.The patients’age,gender,onset-to-door time(ODT),door-to-puncture time(DPT),and puncture-to-recanalization time(PRT)were recorded.The changes in National Institutes of Health Stroke Scale(NIHSS)scores before surgery and 24 hours after surgery were compared,and vascular recanalization,complications,and prognosis at 90 days after surgery were evaluated.The results showed that,Immediate successful vascular recanalization was achieved in 22 cases after thrombectomy,with a recanalization rate of 88.00%.The NIHSS score at 24 hours after surgery ranged from 0 to 27 points,with an average score of(11.68±10.93)points,showing a statistically significant difference compared with the preoperative score(t=2.192,P=0.038).At 90 days after surgery,17 patients had a modified Rankin Scale(mRS)score≤2,with a good prognosis rate of 68.00%.The study concludes that Solitaire stent mechanical thrombectomy has a significant effect in the treatment of acute cerebrovascular occlusion in county-level comprehensive stroke centers.
作者
郭松
GUO Song(Interventional Therapy Department,Yantai Penglai People’s Hospital,Yantai,Shandong 265600)
出处
《科技与健康》
2025年第23期69-72,共4页
Technology and Health
关键词
急性缺血性卒中
血管内取栓
SWIM技术
县级综合卒中中心
acute ischemic stroke
endovascular thrombectomy
stent retriever with intracranial manual aspiration(SWIM)technique
county-level comprehensive stroke center
