| 苏旭东,刘增品,周存河,陈瑞卿,于江华.临床随访观察支架治疗青年卒中合并大脑中动脉狭窄[J].中国介入影像与治疗学,2019,16(8):451-454 |
| 临床随访观察支架治疗青年卒中合并大脑中动脉狭窄 |
| Clinical follow-up observation on treatment of middle cerebral artery stenosis with stents for stroke in young patients |
| 投稿时间：2018-11-26 修订日期：2019-06-11 |
| DOI：10.13929/j.1672-8475.201811047 |
| 中文关键词: 卒中 大脑中动脉 狭窄 支架 并发症 青年人 |
| 英文关键词:stroke middle cerebral artery stenosis stents complications young adult |
| 基金项目:河北省医学科学研究重点课题（20160553）。 |
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| 中文摘要: |
| 目的 探讨脑血管支架治疗青年卒中合并大脑中动脉狭窄的临床价值。方法 回顾性分析37例接受支架治疗的伴大脑中动脉狭窄的青年卒中患者的临床及随访资料。结果 支架治疗青年卒中合并大脑中动脉狭窄的技术成功率为100%，残余狭窄率为（6.60士0.71）%。术后中位随访时间为34个月，随访终点事件（再发卒中、短暂性脑缺血发作及死亡）发生率为8.11%（3/37），终点事件致残率为2.70%（1/37）。结论 脑血管支架治疗青年卒中合并大脑中动脉狭窄效果确切，且术后再发卒中风险小、致残率低。 |
| 英文摘要: |
| Objective To investigate the clinical value of stent treatment for middle cerebral artery (MCA) stenosis in young stroke patients. Methods Clinical and follow-up data of 37 young stroke patients with MCA stenosis treated with stents were retrospectively analyzed. Results The technical success rate of cerebral vascular stenting was 100%. And the residual stenosis rate was (6.60±0.71)%. The median follow-up period was 34 months. The incidence of endpoint events (such as recurrent stroke, transient ischemic attack and death) was 8.11% (3/37), and the disability rate of endpoint events was 2.70% (1/37). Conclusion Cerebrovascular stents are effective in treatment of MCA stenosis for young patients with stroke. The risk of recurrent stroke and the disability rate is low. |
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