[1]杨绪森,李沛城,陈 珑,等.脑梗死进展速度与急性前循环大血管闭塞患者机械取栓术后发生症状性颅内出血相关性研究[J].介入放射学杂志,2024,33(11):1170-1174.
　YANG Xusen,LI Peicheng,CHEN Long,et al.Correlation between the growth speed of cerebral infarction and the symptomatic intracranial hemorrhage occurring in patients with acute anterior circulation large vessel occlusion after mechanical thrombectomy[J].journal interventional radiology,2024,33(11):1170-1174.
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脑梗死进展速度与急性前循环大血管闭塞患者机械取栓术后发生症状性颅内出血相关性研究
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年11
页码:
1170-1174
栏目:
神经介入
出版日期:
2024-11-20

文章信息/Info

Title:
Correlation between the growth speed of cerebral infarction and the symptomatic intracranial hemorrhage occurring in patients with acute anterior circulation large vessel occlusion after mechanical thrombectomy
作者:
杨绪森; 李沛城; 陈 珑; 李波; 刘一之; 袁晨; 李婉慈; 丁运
Author(s):
YANG Xusen; LI Peicheng; CHEN Long; LI Bo; LIU Yizhi; YUAN Chen; LI Wanci; DING Yun.
Department of Interventional Radiology，First Affiliated Hospital of Soochow University，Suzhou，Jiangsu Province 215006，China
关键词:
【关键词】机械取栓; 急性缺血性脑卒中; 梗死进展速度; 症状性颅内出血
文献标志码:
A
摘要:
【摘要】目的评估脑梗死进展速度对急性前循环缺血性脑卒中患者机械取栓术后发生症状性颅内出血（sICH）的影响。 方法回顾性分析2016年6月至2022年12月在苏州大学附属第一医院接受机械取栓治疗的急性缺血性脑卒中患者的临床资料，依照海德堡标准定义，将其分为取栓术后sICH组与无sICH组。比较两组患者临床及影像学资料，多因素logistic回归分析取栓术后发生sICH的独立危险因素，以受试者工作特征曲线下面积（AUC）评估梗死进展速度预测sICH的效能。 结果218例患者中，sICH组23例，无sICH组195例，两组患者NIHSS评分、侧支循环状态、核心梗死体积及梗死进展速度比较差异均有统计学意义（均P＜0.05）。多因素logistic回归分析显示，梗死进展速度较快是机械取栓术后发生sICH的独立危险因素。梗死进展速度预测sICH的灵敏度为78.3%，特异度为69.7%，AUC=0.751，预测值为7.6 mL/h。结论梗死进展速度较快是急性前循环缺血性脑卒中患者机械取栓后发生sICH的预测因子。梗死进展速度大于7.6 mL/h时， 机械取栓后发生sICH的风险较高。

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备注/Memo

备注/Memo:
（收稿日期：2023-10-10）
（本文编辑：新宇）
更新日期/Last Update: 2024-11-20