颈动脉支架成形术的报道规范化讨论  

Standardization of the reports for carotid artery stenting

作　　者：谢剑[1] 李明华[1] 

机构地区：[1]上海交通大学附属第六人民医院介入影像科,200233

出　　处：《介入放射学杂志》2005年第6期665-670,共6页Journal of Interventional Radiology

基　　金：上海市科委重点资助项目(03411985)

摘　　要：中风是导致死亡的主要原因之一,而其中25%的缺血性中风患者都有颈动脉狭窄病变。长期以来,人们公认颈动脉内膜剥离术是治疗颈动脉狭窄性病变的最佳疗法。但是近年随着血管内介入技术的发展,颈动脉支架术的开展越来越广泛。虽然对该项技术与颈动脉内膜剥离术进行随机、双盲比较研究以客观评价其优缺点在实际操作中存在一定的难度,但是,病例报道的规范化,包括科学的试验设计、病例入选标准、观察结果及其统计学处理等是必要的。本文就颈动脉支架成形术的病例入选、术前准备、手术过程,疗效评估、并发症等作一阐述,目的是使颈动脉支架术的报道规范化,以利于不同作者和机构发表的文章具有可比性。Objective Stroke is one of the leading causes of death. Carotid occlusive diease is responsible for 25 % of the ischemic strokes. Surgical carotid endarterectomy has been accepted as the best maragement for the extracranial caroid occlusive disease. However, in recent years, with the development of the endovascular technology, carotid artery stenting becomes more and more popular accompanied by increase of articles in this field correspondingly. The practical difficulty exists in comparison between the carotid stenting and endarterectomy through randomized controlled trials. Standardized report including trial design, patient selection, outcomes, statistical disposition thus become extremely necessary. This article gives a detailed description concerning about the patient selection, pretreatment evaluation, treatment description, curative effect evaluation and complications of carotid artery stenting. The purpose of this article is to standardize the reports of carotid stenting so that the descriptive and statistical data from different authors and agents can be compared

关 键 词：支架 颈动脉 报告规范化 

分 类 号：R743[医药卫生—神经病学与精神病学]