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目的对颈内动脉慢性进展性闭塞患者临床诊断情况进行分析。方法对37例颈内动脉慢性进展性闭塞患者的临床资料进行回顾性分析,采用神经功能缺损评分(NIHSS)量表对患者神经功能进行评分。结果 37例患者中,颈内动脉慢性进展性闭塞好发位置为颈动脉起始段,其中35例患者形成初级侧支循环;37例患者中,1侧闭塞21例,1侧重度狭窄、1侧闭塞16例;1侧重度狭窄、1侧闭塞患者NIHSS评分为(9.15±0.67)分,1侧闭塞患者NIHSS评分为(4.26±0.87)分,比较差异具有统计学意义(P<0.05)。结论颈内动脉慢性进展性闭塞患者闭塞位置以颈动脉起始段为主,初级侧支循环在疾病发生、发展过程中往往发挥代偿作用;合并重度狭窄的单侧闭塞者,其神经功能缺损程度更为严重,临床应加以重视。
Objective To analyze the clinical diagnosis of patients with chronic progressive occlusion of internal carotid artery. Methods The clinical data of 37 patients with chronic progressive internal carotid artery occlusion were retrospectively analyzed. Neurological deficits (NIHSS) were used to evaluate the neurological function. Results Among the 37 patients, the chronic progressive occlusion of internal carotid artery occured in the initial stage of carotid artery, of which 35 patients formed the primary collateral circulation. Among the 37 patients, 1 was occluded in 21 patients, 1 was severe stenosis, and 1 There were 16 cases of lateral occlusion, 1 case of severe stenosis and 1 case of occlusion. The NIHSS score was (9.15 ± 0.67) points and the NIHSS score was 4.26 ± 0.87. The difference was statistically significant (P <0.05). Conclusions The occlusion of patients with chronic progressive occlusion of internal carotid artery takes the initial part of carotid artery as the main phase. The primary collateral circulation often plays a compensatory role in the occurrence and development of the disease. In unilateral occlusion with severe stenosis, the neurological deficits Degree is more serious, clinical should pay attention.