颈动脉内膜剥脱术治疗颈动脉狭窄60例临床分析  

Clinical analysis of 60 cases in carotid endarterectomy of carotid stenosis

作　　者：慈红波[1] 任昊[1] 田广磊[1] 唐加热克[1] 朱峰[1] 朱兵[1] 管圣[1] 戈小虎[1] 

机构地区：[1]新疆维吾尔自治区人民医院血管外科, 乌鲁木齐830001

出　　处：《国际外科学杂志》2014年第9期594-597,共4页International Journal of Surgery

摘　　要：目的 探讨颈动脉内膜剥脱术治疗颈动脉狭窄的疗效及安全性.方法 回顾性分析新疆维吾尔自治区人民医院血管外科2009年1月-2013年12月行颈动脉内膜剥脱术治疗颈动脉狭窄的60例患者的临床资料.结果 本组无围手术期死亡病例.术后出现脑出血1例,脑梗死2例,轻度伸舌偏移2例.结论 颈动脉内膜剥脱术是一种安全有效的治疗颈动脉狭窄的手术方式.颈动脉内膜剥脱术关键在于严格掌握手术适应证,提高手术技巧和有效防治并发症.Objective To discuss the efficacy and safety of carotid endarterectomy for carotid stenosis.Methods The data of 60 cases of carotid stenosis that were treated by carotid endarterectomy at Division of Vascular Surgery,the people＆#39;s Hospital of Xinjiang Uigur Autonomous Region were analyzed retrospectively.Results All procedures were successful.There was no one dead in this study.The postoperative complications included cerebral hemorrhage in 1 case,cerebral infarction in 2 cases,and mild tongue deviation in 2 cases.Conclusions Carotid endarterectomy is a safe and effective procedure for patients with carotid stenosis.This study found that the key of carotid endarterectomy included that ensure inclusion criteria for carotid revascularization and improve the operation skills and reduce the possibilities of compilations.

关 键 词：颈动脉内膜剥脱术 颈动脉狭窄 卒中 手术后并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学]