颈动脉内膜剥脱术治疗颈动脉狭窄的临床研究  

Clinical Research on Carotid Endarterectomy for the Treatment of Carotid Artery Stenosis

作　　者：万亮[1] 华续明[1] 李轶[1] 王旭辉[1] 李心远[1] 李世亭[1] 

机构地区：[1]上海交通大学医学院附属新华医院神经外科,上海200092

出　　处：《医学临床研究》2010年第11期1999-2001,共3页Journal of Clinical Research

基　　金：上海市市级医院适宜技术联合开发推广应用项目（SHDC1200729）

摘　　要：[目的]探讨颈动脉内膜剥脱术治疗颈动脉狭窄的指证与手术技巧.[方法]回顾分析在2007年6月至2009年5月期间20例颈动脉狭窄患者行颈动脉内膜剥脱术并随访的相关资料.[结果]手术均成功,颈动脉内膜剥脱术1例术后第2天出现脑梗死,3例出现局部淤血,其余未出现明显神经功能障碍.术后平均随访15个月,未有一过性脑卒中或脑梗死发生.[结论]颈动脉内膜剥脱术治疗颈动脉狭窄是安全可靠的,但需要严格掌握手术指证并由技术娴熟的专科医师操作,手术的疗效才能得到保证.[Objective]To explore the indications and the operation technique of carotid endarterectomy （CEA） for the treatment of carotid artery stenosis. [Methods]The clinical data of 20 patients with carotid artery stenosis undergoing CEA and followed up from Jun. 2007 to May 2009 were analyzed retrospectively. [Results]All patients were operated successfully. The cerebral infarction occurred in one case at the second day after operation. Local congestion was found in 3 cases, The other patients had no obvious nerve function disorder. The average of follow-up was 15 months and no one had TIA or infarction. [Conclusion] Carotid endarterectomy for the treatment of CEA is safe and reliable. Mastering the indications strictly and operating by adept specialists are the guarantee of the effect of CEA.

关 键 词：颈动脉狭窄/外科学 颈动脉/外科学 

分 类 号：R654.3[医药卫生—外科学]