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| Surgical Treatment of ACI Patients with Forceps Clamp and its Effect on Neurological Rehabilitation |
| ZHANG Na, LIU Xia, WANG Guo-wei |
| Shandong Provincial Third Hospital,Jinan 250031 |
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Abstract 【Objective】 To investigate the surgical method of clamping thrombectomy for acute cerebral infarction (ACI) and the effect of nerve function recovery after operation. 【Methods】 The clinical data of 117 patients with ACI treated in our hospital from June 2016 to June 2018 were retrospectively analyzed. According to the different surgical methods, they were divided into observation group (treated with clamp thrombectomy,n=50) and control group (treated with traditional stent thrombectomy,n=67). The times of thrombectomy, success rate of single thrombectomy, operation time, recanalization rate of infarcted vessels were compared between the two groups. The NIHSS score before and after operation, the prognosis of 3 months after operation and the operation complications were compared between the two groups.【Results】 After 1 month and 3 months, NIHSS scores of the two groups were lower than those before operation (P<0.05). 3 months after operation, the good prognosis rate of the observation group was 68.00% (34/50), which was higher than 59.70% (40/67) of the control group, but the difference was not statistically significant (P>0.05). The incidence of postoperative complications in the observation group was 6.00% (3/50), including 2 cases of recurrent cerebral infarction and 1 case of intracranial hemorrhage. The incidence of postoperative complications in the control group was 8.96% (6/67), including 4 cases of recurrent cerebral infarction and 2 cases of intracranial hemorrhage. There was no significant difference between the two groups (χ2=0.352,P=0.553).【Conclusion】 It is safe and feasible to remove thrombus in single time in the treatment of ACI. It can better restore the neurological function of patients and has important significance to improve the prognosis of patients.
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Received: 13 November 2018
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2020, Vol. 37 
