血管重建治疗无症状颈动脉狭窄有作用吗？  

Is there a role for revascularisation in asymptomatic carotid stenosis？

作　　者：苏克江 耿家宏 

机构地区：[1]解放军66393部队医院,河北易县074200

出　　处：《国际脑血管病杂志》2010年第11期875-880,共6页International Journal of Cerebrovascular Diseases

摘　　要：究竟应采用何种方法 治疗无症状颈动脉狭窄患者一直存在争论,尤其是在最佳药物治疗已能使这些患者的卒中风险显著降低,并且其效果等于甚至优于颈动脉内膜切除术或支架置入术的今天.但是,血管重建技术在无症状颈动脉狭窄患者中的治疗价值并未完全消失,而且随着技术的改进和随访时间的延长,其在降低卒中风险方面的作用或许会更为明显.最佳的药物治疗的确能显著降低无症状颈动脉狭窄患者的卒中风险,但未必能够解决全部问题.文章根据现有资料阐述了不同作者对血管重建治疗无症状颈动脉狭窄的看法.There has been controversy over what method should be used to treat patients with asymptomatic carotid stenosis, especially the optimal medical therapy has been able to reduce the risk of stroke significantly in these patients and its efficacy is equal to or even exceed today＇s carotid endarterectomy or stenting. However, the treatment value of revascularization in patients with asymptomatic carotid stenosis does not completely disappear, and with the improved technologies and the prolonged follow-up time, their effects may be more apparent in reducing the risk of stroke. The optimal medical treatment can indeed significantly reduce the risk of stroke in patients with asymptomatic carotid stenosis, but it may not be able to solve all the problems. This article expounds the opinions of different authors in the treatment of asymptomatic carotid stenosis with revascularization according to the data available.

关 键 词：颈动脉狭窄 脑血管重建术 颈动脉内膜切除术 支架 卒中 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]