颈动脉狭窄的外科手术治疗（附73例报告）  

Surgical operation in the treatment of carotid stenosis （a report of 73 cases）

作　　者：刘英军[1] 

机构地区：[1]山东省莱州市人民医院心脏血管外科,261400

出　　处：《中国实用医刊》2014年第7期10-12,共3页Chinese Journal of Practical Medicine

摘　　要：目的总结颈内动脉内膜切除术（CEA）治疗颈内动脉重度狭窄的临床经验。方法回顾性分析2003年9月至2011年9月在莱州市人民医院心脏血管外科行CEA的73例患者（88侧）的临床资料，84次均为初次手术，无二次手术；70例术前有短暂性脑缺血发作（TIA），65例术前曾患脑梗死。63例患者术前经选择性颈动脉造影证实狭窄程度均〉70％，其中36例狭窄程度〉95％，26例对侧伴有颈动脉狭窄或闭塞。26例患者术前行冠状动脉造影证实合并冠心病。结果所有术前有临床症状的患者术后有较明显改善，表现为TIA消失、记忆力明显好转和语言障碍恢复等；1例患者术后出现舌下神经损伤。1例在随访期间因心脏病死亡，其余患者病情稳定。结论CEA是治疗颈内动脉重度狭窄的安全有效的方法。Objective To summarize the clinical experience of carotid endarterectomy （CEA） in the treatment of severe stenosis of internal carotid artery. Methods The clinical data of 73 patients with internal carotid artery stenosis treated by CEA in people＇ s hospital of Laizhou from September 2003 to September 2011 were analyzed retrospectivelyl Transient isehemic attack （TIA） was found in 70 pa- tients and cerebral infarction was found in 65 patients before operations. Diagnose was confirmed by selec- tive angiography, and 〉70% stenosis of internal carotid artery was found in 63 patients and 〉95% ste- nosis was found in 36 patients. Stenosis or occlusion of the contralateral carotid artery was also found in 26 patients. Coronary artery stenosis was confirmed in 26 patients by preoperative coronary angiography. Re- suits After the operation, the clinical symptoms significantly improved in all patients. One case experi- enced hyproglosalnerve injury. One patient died of heart attack during follow-up. Conclusions CEA is an effective and safe treatment for severe stenosis of internal carotid artery.

关 键 词：颈动脉狭窄 颈动脉内膜剥脱术 脑卒中 

分 类 号：R654.3[医药卫生—外科学]