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急性缺血性脑卒中(AIS)的预后与急性期的血管再通密切相关。评价血管再通效率的标准有3条,即血管再通率、临床转归率和不良反应。AIS血管再通的方法有静脉溶栓、动脉溶栓、动静脉溶栓、机械再通术,机械再通术又分为支架再通术和机械碎栓/取栓术再通术。从血管再通效率的评价标准而言,机械再通术虽血管再通率高,但不良反应较多,且临床转归率并未提高多少;而静脉溶栓虽血管再通率不及机械再通术,但临床转归率也不低,不良反应明显减少,是首选之血管再通治疗方法。
The prognosis of acute ischemic stroke (AIS) is closely related to the vascular recanalization during acute phase. There are three criteria for evaluating the efficiency of revascularization, namely, the rate of revascularization, clinical outcome and adverse reactions. Methods of AIS recanalization include intravenous thrombolysis, arterial thrombolysis, arteriovenous thrombolysis, mechanical recanalization, mechanical recanalization, and stent-recanalization and mechanical thrombectomy / thrombectomy. In terms of the evaluation criteria of revascularization efficiency, although mechanical recanalization recanalization rate is high, but more adverse reactions, and the clinical outcome rate did not increase much; and intravenous thrombolysis, although the revascularization rate is less than the mechanical Tong, but the clinical outcome rate is not low, significantly reduced adverse reactions, is the preferred method of revascularization.