目的 分析大动脉闭塞性急性脑梗死采用Solitaire AB支架取栓术治疗的临床效果. 方法 整群选取回顾性分析2014年1月—2015年6月收治于该院并行SolitaireAB支架取栓术的15例患者的临床资料,比较患者手术前和手术后NIHSS评分及mRS评分情况,分析治疗效果.结果 15例患者经过取栓手术,均成功的取出血栓,术后3 d检查发现所有患者的闭塞血管均恢复通畅. 治疗结束后患者的NIHSS评分为(4.57±1.17),术后3个月mRS评分为(1.62± 1.21)均明显改善,与之前相比较P<0.05,差异具有统计学意义,术后患者发生的并发症和不良反应较少. 结论 采用SolitaireAB支架取栓术在治疗大动脉闭塞性急性脑梗死中能够有效的疏通血管,再通率较高,且操作安全,术后不良反应较少.%Objective Analysis of large artery occlusive acute cerebral infarction using Solitaire AB stent embolectomy ther-apy clinical effect. Methods Retrospective analysis in April 2012~April 2014 admitted to the clinical data of parallel Soli-taireAB stent embolectomy of 20 patients analyzed treatment for all patients, compared before and after surgery in patients with NIHSS and m RS score situation score. Results 20 patients after surgical embolectomy, thrombus was removed suc-cessfully, 3 d after examination revealed occlusive vascular patency in all patients recovered. After treatment in patients with NIHSS score after three months mRS scores were significantly improved compared with the previous P <0.05, the dif-ference was statistically significant, fewer complications, and adverse reactions occurred in patients cut. Conclusion Em-bolectomy using Solitaire AB stent occlusion of large arteries in the treatment of acute cerebral infarction can effectively clear the blood vessels, the higher recanalization rate, and safe operation, less postoperative adverse reactions.
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