标准式颈动脉内膜切除术中应用涤纶补片的临床分析  

Standard carotid endarterectomy with Hema carotid dacron patch angioplasty

作　　者：张利勇 杜立新 林凯 刘卫东 张士刚 王继跃 

机构地区：[1]山东省聊城市脑科医院神经外科,252000

出　　处：《中华神经医学杂志》2010年第12期1255-1258,共4页Chinese Journal of Neuromedicine

摘　　要：目的 探讨标准式颈动脉内膜切除术（sCEA）中应用Hema涤纶（Dacron）补片对内膜切除后颈动脉成形的影响.方法 山东省聊城市脑科医院神经外科自2006年1月至2009年10月应用单侧sCEA＋补片成形术治疗25例颈内动脉硬化性狭窄（直径＜5 mm）患者,单纯sCEA治疗22例,回顾性分析患者的临床资料并比较疗效.结果 围手术期患者无死亡及脑卒中.sCEA治疗组术后发生一过性脑缺血1例,经治疗后缓解.随访2年,sCEA＋补片成形术治疗组患者无颈动脉再狭窄,sCEA治疗组出现2例患者颈内动脉再次狭窄.结论 sCEA中对颈内动脉直径＜5mm的患者应用涤纶补片是成功防止CEA术后颈动脉再狭窄的有效方法.Objective To explore the efficacy of standard carotid endarterectomy （sCEA） with Hema carotid dacron patch angioplasty on formation of carotid. Methods The data of 47 patients with carotid atherosclerotic stenosis, admitted to our hospital from January 2006 to October 2009 were analyzed retrospectively. Unilateral sCEA with Hema carotid dacron patch angioplasty was performed in 25 patients （diameter of internal carotid〈5 mm） and sCEA alone in 22. Preoperative and postoperative complications and the efficacy were summarized. Results No perioperative stroke/death was noted;but transient ischemic attack appeared in 1 patient and the symptom was relieved after treatment. Two years of follow-up was performed; no patients in the sCEA with Hema carotid dacron patch angioplasty group was found to have carotid arterial restenosis, while 2 was noted in the sCEA group. Conclusion The sCEA with Hema carotid dacron patch angioplasty is an effective method in preventing the carotid arterial restenosis in patients with carotid atherosclerotic stenosis that enjoy their conventional diameter of internal carotid〈5 mm.

关 键 词：颈动脉内膜切除术 颈动脉狭窄 补片 

分 类 号：R686[医药卫生—骨科学]