急性缺血性脑中风的血管内治疗

目的 评价超选择动脉溶栓及经皮腔内血管成形术治疗急性脑中风的临床疗效。方法 对30例急笥缺血性脑中风患者，经股动脉或颈动脉插管，用微导丝将微导管送至血管闭塞部位，注入尿激酶行溶栓治疗，对6例颅外段血管狭窄者，采用经皮腔内血管成形术消除，并注入罂粟碱扩张颅内血管。结果 血管完全再通15例，部分再通12例，治疗3月后日常生活能力指数评分：100分20例，75－95分6例，占86.67%。结论 早期超选择动脉溶栓配合经皮腔内血管成形术和罂粟碱可明显提高闭塞血管再通率，是目前治疗急性脑梗死有效的方法。

Combined selective intravascular thrombolysis and percutaneous transluminal angioplasty for acute ischemic stroke

Objective To evaluate the therapeutic effect of the selective intraarterial thrombolysis (SIT) and percutaneous transluminal angioplasty (PTA)for acute ischemic stoke.Methods 30 acute ischemic stoke cases had been treated.The microguidewire was put through and reach to the embolus,microguidewire removed,thrombolysis therapy performed by local intravascular infusion of urokinase at the site of occlusion.PTA was used to eliminate the stenosis in extracranial arterial in 6 cases,combined with infusion of papaverine.Results 15 cases were completely recanalized and 12 cases were partially recanalized.Three month after treatment the recovery rate of neurologic deficits was 86.67%(26/30).Conclusion SIT combined with PTA and papaverine is an effective method in treatment of acute ischemic stroke.