《中国医药科学》杂志欢迎您的投稿!.   今天是:        
李浩,吴燕平.急诊血管内介入治疗后颅内发生高密度影的有关因素及预后分析[J].中国医药科学,2024,14(11):181-185        基金项目:四川省医学科研课题计划(S19056)
急诊血管内介入治疗后颅内发生高密度影的有关因素及预后分析
Analysis of relevant factors and prognosis of intracranial high-density shadow after emergency endovascular intervention treatment
  
DOI:
中文关键词:  缺血性脑卒中;血管内介入治疗;造影剂外渗;影响因素;预后
英文关键词:Ischemic stroke; Intravascular interventional therapy; Contrast agent extravasation; Impacting factors; Prognosis
作者单位
李浩,吴燕平 四川省宜宾市第一人民医院神经内科,四川宜宾 644000 
摘要点击次数: 26
全文下载次数: 15
中文摘要:
      [摘要]目的 探讨急诊血管内介入治疗术后患者颅内高密度影的发生率及其影响因素,及高密度影与临床预后的相关性。方法 选取2020年6月至2021年6月宜宾市第一人民医院收治的100例接受血管内介入治疗的脑卒中患者作为研究对象。术后即刻进行头颅CT平扫复查,根据患者是否存在高密度影,并将其分为高密度影组(52例)及非高密度影组(48例)。比较两组患者的术前美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、头颅CT阿尔伯塔脑卒中计划早期诊断评分(ASPECTS)、术中美国介入和治疗神经放射学会/介入放射学学会(ASTIN/SIR)分级、术后改良脑梗死溶栓血流分级(mTICI)、术后良好预后(mRS≤3分)率等指标。结果 纳入研究的100例患者术后3、6、12个月的良好预后率分别为34.00%、52.00%、54.00%。两组患者术中ASTIN/SIR分级、术后mTICI再通等级及3个月的良好预后率比较,差异均有统计学意义(P < 0.05),而在其他术后指标上差异无统计学意义(P > 0.05)。结论 对于侧支循环良好的患者,术中操作需更加警惕,术后需加强病情关注,并注意影像学复查评估,减少造影剂外渗对患者预后产生影响。
英文摘要:
      [Abstract] Objective To investigate the incidence and impacting factors of intracranial high-density shadow after emergency endovascular intervention treatment, and the correlation between high-density shadow and clinical prognosis. Methods A total of 100 stroke patients undergoing endovascular intervention treatment admitted to the First People’s Hospital of Yibin from June 2020 to June 2021 were selected as the research object. Immediately after operation, the plain CT scan of the skull was reexamined to determine whether there was high-density shadows. The patients were divided into the high-density shadow group (n=52) and the non-high density shadow group (n=48). The preoperative National Institute of Health Stroke Scale (NIHSS), the modified Rankin scale (mRS), the alberta stroke program early CT score (ASPECTS), intraoperative American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology Collateral Vessel Grading System (ASTIN/SIR) classification, the modified thrombolysis in cerebral infarction (mTICI) after operation, and the good prognosis (mRS score≤3) rate after operation, etc., were compared between the two groups of patients. Results The good prognosis rates at 3, 6, and 12 months postoperatively for the 100 patients included in the study were 34.00%, 52.00%, and 54.00%, respectively. It was discovered that there were all statistically significant differences in intraoperative ASTIN/SIR grade, postoperative mTICI recanalization grade and good prognosis rate for 3 months (P < 0.05), while there were no statistically significant differences in other postoperative indices (P > 0.05). Conclusion For patients with good collateral circulation, more caution should be exercised during operation, and postoperative attention should be paid to the condition. Imaging review and evaluation should be emphasized to reduce the impact of contrast agent extravasation on the prognosis of patients.
查看全文  查看/发表评论  下载PDF阅读器
关闭
关键词: 中国医药科学 中国医学 中国医学科学 中华医学 医学杂志 临床医学杂志 医学期刊 中国预防医学 中华预防医学 预防医学杂志 中国药学 药学杂志
药理杂志 中国中医 中医杂志 中华中医药 中医药杂志 中国医疗 医疗器械杂志 中国中西医结合 中国医药 医药杂志 医药期刊 医药论文 医学论文 科研论文 职称论文
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=6FD48CA0A0DD47597E83F2695562DB9AE3E95C1CA868C852D03254878D54CCDA43D273F6EE0D2700C30BAC38CC410CF38600BEC1E36C55DF408ECA2AD635ABC716A7334DE53FBDDBA66E157FE636A7104EAB7B306ED8DCA78CECA6083EBA0B6733C2681F14B117B05BEDB8EFD65992E2303E52A317D4674C8075D74017BFFE4B73BB5B7F38051801&pcid=&cid=&jid=&yid=B80136CCD8DCBAA1&aid=&vid=&iid=708DD6B15D2464E8&sid=7EBE588F611589FC&eid=D46BA3D3D4B3C585&fileno=20240516&flag=1&is_more=0">