30例颈动脉内膜剥脱术的临床总结  

Clinical analysis of carotid endarterectomy in 30 cases

作　　者：王晨 张学军 罗军[3] 黄桂林[4] 刘江文 夏军强 

机构地区：[1]新疆石河子人民医院普外科,832000 [2]新疆石河子人民医院神经内科,832000 [3]新疆医科大学第一附属医院血管外科 [4]新疆石河子大学第一附属医院普外二科

出　　处：《心肺血管病杂志》2012年第5期608-610,共3页Journal of Cardiovascular and Pulmonary Diseases

基　　金：新疆生产建设兵团农业与社会发展科技基金资助项目(2010GG39)

摘　　要：目的:对颈动脉内膜剥脱术预防和治疗缺血性脑卒中的临床疗效进行评价,并提出主要外科技术及手术指征。方法:2009年1月至2012年1月收治的患者30例,且根据所有患者的临床表现以及颈部血管多普勒超声、数字减影(DSA)、CT血管造影(CTA)等检查可确诊为脑卒中。对所有患者行颈动脉内膜剥脱术(carotid endarterectomy,CEA),绝大多数病例均采用全麻,几乎所有病例均采用转流管维持脑部供血,剥离颈动脉斑块。结果:随访6～24个月,30例患者术后恢复良好,脑缺血症状有明显改善,所有患者围手术期内均未出现死亡及脑卒中事件,并且在术后1年的随访中均未出现脑卒中,未出现严重并发症,且患者的生活质量有明显改善。结论:颈动脉内膜剥脱术对预防和治疗缺血性脑卒中是安全有效的。Objective：To evaluate efficacy cartid endarterectomy in improving symptoms of ischemic stroke and to find out the main surgical technique and the indication for cndarterectomy. Methods： From Janu- ary 2009 to January 2012,30 patients of ischemic stroke received CEA. All patients can be diagnosed as a stroke by clinical manifestations, neck vascular Doppler ultrasound, digital subtraction （DSA） and CT angiog- raphy （CTA） examination. Most of the patients were treated with general anesthesia. Employing shunting in protecting the brain was dependent on the result of clamping the carotid artery. Plaques in the carotid artery were dissected. Results： Follow-up 6 to 24 months, all the patients recovered well after the Surgery and the symptoms of cerebral ischemia had significantly improved. During the perioperative period and after 1 year＇s fol- low-up there were no death, no serious complications and stroke events. The patients＇ quality of life have im- proved obviously. Conclusion： Carotid endarterectomy is a safe and effective method to to prevent and treat is- chemic stroke.

关 键 词：颈动脉内膜剥脱术 颈动脉狭窄 脑卒中 血管疾病 

分 类 号：R54[医药卫生—心血管疾病]