外翻式颈动脉内膜切除术治疗颈动脉粥样硬化性狭窄  

Treatment of carotid atherosclerosis stenosis with eversion carotid endarterectomy

作　　者：陈东[1] 石军伟[1] 吴治群[1] 冷晓磊[1] 熊文德[1] 

机构地区：[1]大连市中心医院神经外科,116033

出　　处：《中国医师进修杂志（外科版）》2009年第12期26-28,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨外翻式颈动脉内膜切除术在治疗颈动脉粥样硬化性狭窄中的疗效。方法总结2009年3-8月20例接受外翻式颈动脉内膜切除术的颈动脉粥样硬化性狭窄患者的临床资料，比较术前、术后的影像学资料和临床症状。结果20例手术均获成功，患者术后临床症状均得到不同程度改善。患者在出院前均行颈动脉CT血管成像，显示狭窄处完全解除，吻合口扩张。结论外翻式颈动脉内膜切除术治疗颈动脉粥样硬化性狭窄，具有手术时间短、术后再狭窄率低、增厚内膜及斑块剥离彻底等优点。Objective To evaluate the clinical value of eversion carotid endarterectomy in patients with carotid atherosclerosis stenosis. Method Summarized the clinical data of 20 patients who accepted eversion carotid endarterectomy from March 2009 to August 2009, compared the outcomes with preoperative and postoperative image learnt materials and clinical symptoms. Results All cases finished successfully. All clinical symptoms were improved after operation. The stenosis were all improved completely on the image after operation. Conclusions Eversion carotid endarterectomy is safe, effective, and shortening operative time and hospitalization time. It has low restenosis rate, thicken endometrium and plaque can be stripped completely.

关 键 词：动脉粥样硬化 颈动脉内膜切除术 

分 类 号：R653[医药卫生—外科学] R816.2[医药卫生—临床医学]