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目的：评价超选择动脉溶栓及经皮腔内血管成形术(PTA)治疗急性脑梗塞的临床疗效。方法：对30例急性脑梗塞病人，经股动脉或颈动脉插管，用微导丝将微导管送至血管闭塞部位，注入尿激酶(UK)行溶栓治疗，对6例颅外段血和狭窄者，采用PTA消除，并注入罂粟碱扩张颅内血管。结果：颈内动脉闭塞10例、大脑中动脉16例、椎基动脉系统4例中，血管完全再通15例，部分再通12例，治疗3月后日常生活能力指数(BI)评分：100分20例，75~95分6例，占86.67%。结论：早期超选择动脉溶栓配合PTA和罂粟碱可明显提高闭塞血管再通率，是目前治疗急性脑梗塞最有效的方法。
Objective: To evaluate the clinical efficacy of superselective arterial thrombolysis and percutaneous transluminal angioplasty (PTA) in the treatment of acute cerebral infarction. Methods: Thirty patients with acute cerebral infarction were intubated via the femoral artery or carotid artery. The microcatheter was delivered to the site of vascular occlusion by micro-guide wire. Thrombolytic therapy with urokinase (UK) And stenosis, using PTA to eliminate and inject papaverine to expand intracranial blood vessels. Results: 10 cases of internal carotid artery occlusion, 16 cases of middle cerebral artery, 4 cases of vertebral artery system, 15 cases of recanalization completely and 12 cases recanalization. After 3 months of treatment, the daily living ability index (BI) score was 100 20 cases, 75 ~ 95 points in 6 cases, accounting for 86.67%. Conclusion: Early superselective arterial thrombolysis combined with PTA and papaverine can significantly improve the occlusion vessel recanalization rate, which is the most effective method for the treatment of acute cerebral infarction.