丛豪 荣向辉

摘要：目的 分析RECO血栓取出装置在颅内大血管急性血栓形成去除中的临床效用。方法 用2020年6月-2021年1月院内收治的10例颅内大血管急性血栓形成患者，全用RECO血栓取出装置，比较取出前后相关指标、统计血栓去除后3个月的复发概率。结果 取出前比取出后的相关指标差，有差异（P<0.05）;血栓去除后的复发率明显降低，RECO血栓取出装置作用显著。结论 RECO血栓取出装置能较好的清除颅内大血管急性血栓，改善相关指标，降低血栓复发概率，应用价值高。

关键词：RECO血栓取出装置;颅内大血管急性血栓;血脂

Objective to analyze the clinical effect of reco thrombus removal device in the removal of acute cerebral thrombosis. Methods 10 patients with acute cerebral thrombosis were treated in the hospital from June 2020 to January 2021. The REO thrombus removal device was used to compare the relevant indexes before and after removal，and the recurrence probability of 3 months after the removal of the thrombus was statistically analyzed. Results the relative indexes before and after removal were poor（P < 0.05）;The recurrence rate after thrombectomy is lower tomorrow，and the effect of reco thrombectomy device is significant. Conclusion the reco thrombus removal device can clear the acute thrombus of intracranial big vessels，improve the related indexes，reduce the probability of recurrence of thrombus，and have high application value.

[Key words]reco thrombus removal device;Acute thrombosis of intracranial big vessels;blood fat

顱内大血管出现急性血栓会瞬间致残、致死，若能及时取出可降低血栓对颅内的影响，尽快恢复体内血脂等正常性，避免再次发生血栓【1】。RECO血栓取出装置的科学性明显，能尽快取出颅内大血管急性血栓，扰乱血栓形成，去除力度较大，能快速疏通血管，保障脑内血氧供应，促进颅脑恢复。RECO血栓取出装置实施前后体内相关指标变化明显，应用后再次出现血栓的概率较低，临床应用效力强，详见下述。

1  资料和方法

1.1一般资料

用2020年6月-2021年1月院内收治的10例颅内大血管急性血栓形成患者，全用RECO血栓取出装置。共有7例男、3例女，均龄（64.15±2.79）岁。全用颅脑CT、MRA及DSA等检查确诊为急性颅内大血管血栓，家属已签署知情同意书，但无心脏等疾病。

1.2方法

RECO血栓取出装置：根据DSA检查结果确定血栓位置等，从右椎动脉或左椎动脉建立入路，置入RECO取栓支架4*20mm，送至闭塞部位后打开，让血流恢复灌注，然后一次性取出大量血栓，并用DSA造影探查颅内大血管顺畅情况，灌注良好后撤出装置。……