缺血性脑血管病的介入诊断和治疗

缺血性脑血管病的介入诊断和治疗

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时间:2018-11-29

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1、--宁夏医学院硕士研究生学位论文英文摘要InterventionalDiagnosisandTherapyofIschemicCerebrovascularDiseaseABSTRACTObjectiveStudytheapplicationvalueofcerebrovascularangiograhybyDSAindiagnosisandtherapyofischemiccerebrovasculardisease,Studytheeffectandcomplicationsofinterventionaltherapy

2、ofischemiccerebrovasculardisease.Methods56patientswithischemiccerebrovasculardiseasewereperformedwithcolorDopplerincarotidarterial,transcranialdoppler,brainCTorMRIandcerebrovascularangiograhybyDSAtoidentifythelocationanddegreeofcerebrovascularstenosis,givethesuitab

3、lepatientswithpercutaneoustransluminalangioplastyandstenting,giveDSAtoevaluatethetherapyeffectandfollowobserveforonetothreemonthsafteroperation.Results(1)thereare43patientsamonginspected56patientshavecerebrovascularchangingwith69branches.Thechanginglocationasfollow

4、ing:30branchesinthecrotchofcommoncarotidarteryandinternalcarotidarterial,19branchesinvertebral-basilararterial,8branchesinmiddlecerebralartery,7branchesinsubclavianartery,1inposteriorcerebralartery,1inanteriorcerebralartery,2ininnominateartery,1inposteriorinferiorc

5、erebellarartery.11brancheswithbloodvassalocclusion,20withbloodvassalsdiameterstenosisrate≧70%,19withbloodvassalsdiameterstenosisrate50%-69%,17withbloodvassalsdiameterstenosisrate<50%,2withaneurysm.There3patientswerelackofonesideofanteriorcerebralartery,whoweredonat

6、edbloodbytheotherside.Thevertebralarteriesof2patientswerechangedasastringofbeads.Thebasilararterialof1patientwaschangedwithshuttleshapestenosis.(2)Thereare20branchesof18patientsweresetwithstents,therightlocationwereprovedbyDSAafteroperation.Thesuccessratewas100%.Th

7、eresultofDSAafteroperationshowing:7brancheshavenoremainedstenosis,9have10%-20%remainedstenosis,3have30%remainedstenosis.1has40%remainedstenosis,whichdecreaseto10%III-----宁夏医学院硕士研究生学位论文英文摘要afterextendedwithundetectableballoon.Theaverageremainedstenosisof20branchesbl

8、oodvesselwaslowerthan20%.(3)1patienthascomplicationsasischemiccerebrovasculardiseaseandbloodpressuredecreasion,1hascardiacarrest,4haveheartratesl

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