[1]卫 杰,刘洁怡,武玉军,等.17例颅外段脑动脉夹层患者治疗分析[J].介入放射学杂志,2016,(02):163-166.
 WEI Jie,LIU Jie- yi,WU Yu- jun,et al.Extracranial cerebral artery dissection: therapeutic analysis of 17 cases [J].journal interventional radiology,2016,(02):163-166.
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17例颅外段脑动脉夹层患者治疗分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年02期
页码:
163-166
栏目:
临床研究
出版日期:
2016-02-25

文章信息/Info

Title:
Extracranial cerebral artery dissection: therapeutic analysis of 17 cases 
作者:
卫 杰 刘洁怡 武玉军 耿昌明 孔晓东
Author(s):
WEI Jie LIU Jie- yi WU Yu- jun GENG Chang- ming KONG Xiao- dong
Department of Neurology, No.85 Hospital of People’s Liberation Army, Shanghai 200052, China
关键词:
【关键词】 颅外段脑动脉夹层 血管造影术数字减影 治疗分析
文献标志码:
A
摘要:
【摘要】 目的 探讨颅外段脑动脉夹层(CAD)临床特点及其治疗方法。方法 回顾性分析17例颅外段CAD患者的临床资料。临床表现由夹层发生位置及受累血管所决定,根据患者不同病因、不同临床特点、不同治疗方法分别归入抗凝组(n=13)和双抗血小板集聚组(n=4)。治疗6个月后随访复查DSA。结果 治疗6个月后DSA显示抗凝组8例患者夹层好转或再通,5例患者夹层无好转或闭塞,但均无症状加重;双抗血小板集聚组4例患者均有再通,其中2例治疗3~6周后接受自膨式支架联合球扩式支架植入术修复血管,术后继续双抗血小板集聚治疗,6个月后复查DSA支架通畅,无动脉内膜过度增生。结论 临床症状决定了CAD发现概率,也可提示部分CAD病因。本组患者椎动脉夹层发病率并不低于颈内动脉夹层。颅外段CAD治疗应以内科一线治疗为基础,抗凝与抗血小板集聚治疗结果无明显差异,2例抗血小板集聚治疗患者经支架植入后疗效明确。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-07-02)
(本文编辑:边 佶)
更新日期/Last Update: 2016-02-22