Abstract：【Objective】To compare the efficacy of mechanical thrombectomy (MT) and emergency intra-arterial thrombolysis (IAT) in the treatment of patients with acute cerebral infarction. 【Methods】A retrospective analysis was conducted on the data of 118 patients with acute cerebral infarction treated with MT or IAT in our hospital, including 66 cases in the MT group and 52 cases in the IAT group. The clinical efficacy of two groups of patients was compared, including the National Institutes of Health Stroke Scale (NIHSS) score before and after treatment, puncture to recanalization time, vascular recanalization rate, residual stenosis rate ≤ 30%, incidence of symptomatic intracranial hemorrhage within 24 hours, and 90 days mortality rate after surgery. 【Results】The total effective rate of the MT group was higher than that of the IAT group (P<0.05); After 3 days of treatment, the NIHSS scores of both groups of patients were lower than before treatment (P<0.05), and the MT group was lower than the IAT group (P<0.05); The time from puncture to recanalization in the MT group was shorter than that in the IAT group (P<0.05), and the vascular recanalization rate in the MT group was higher than that in the IAT group (P<0.05); There was no statistically significant difference (P>0.05) in the residual stenosis rate of ≤ 30%, the incidence of symptomatic intracranial hemorrhage within 24 hours, and the mortality rate at 90 days after surgery between the two groups of patients. 【Conclusion】 Compared with IAT, MT can improve vascular recanalization rate and prognosis in patients with acute cerebral infarction.
许卫利, 王宏宇, 张忆. 机械取栓与急诊动脉内溶栓治疗急性脑梗死患者的疗效比较[J]. 医学临床研究, 2024, 41(9): 1372-1374.
XU Weili, WANG Hongyu, ZHANG Yi. Comparison of the Therapeutic Effects of Mechanical Thrombectomy and Emergency Intra-arterial Thrombolysis in Patients with Acute Cerebral Infarction. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1372-1374.
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2024, Vol. 41 
