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椎动脉残端综合征的研究进展
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Abstract:
椎动脉残端综合征是一种少见类型的急性缺血性卒中，是由椎动脉起始处闭塞后形成残端，残端处血流停滞继发栓子形成并脱落，从而引起后循环供血区的急性缺血性卒中。椎动脉残端综合征具体临床表现因栓子大小、阻塞部位、侧枝循环的不同而各有差异，症状谱从无明显症状到死亡，因此其目前的最佳治疗方式尚缺乏指南与共识推荐。本文结合目前国内外相关研究结果，主要对椎动脉残端综合征的研究现状作一综述，旨在帮助临床医师更深刻地认识椎动脉残端综合征，制定更优化的治疗方案，以便于有效改善患者预后。
Vertebral artery stump syndrome is a rare type of acute ischemic stroke, which is caused by the formation of the stump after the initial occlusion of the vertebral artery, and the formation and loss of emboli secondary to the stagnation of blood flow at the stump, resulting in acute ischemic stroke in the posterior circulation area. The specific clinical manifestations of vertebral artery stump syndrome vary according to the size of embolus, the location of obstruction, and the collateral circulation, and the spectrum of symptoms ranges from no obvious symptoms to death. Therefore, there is still a lack of guidelines and consensus recommendations for the best treatment of vertebral artery stump syndrome. Based on the relevant research results at home and abroad, this paper mainly reviews the research status of vertebral artery stump syndrome, aiming to help clinicians have a deeper understanding of vertebral artery stump syndrome and formulate more optimized treatment plans in order to effectively improve the prognosis of patients.
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