颈内动脉内膜剥脱术治疗症状性颈内动脉狭窄临床研究  

Clinical value of carotid endarterectomy in treatment of symptomatic internal carotid artery stenosis

作　　者：曾而明[1] 徐春华[1] 陈超 周小平[1] 唐斌[1] 严剑[1] 洪涛[1] 

机构地区：[1]南昌大学第一附属医院神经外科,江西南昌330006 [2]修水县中医院神经外科,江西九江332400

出　　处：《国际神经病学神经外科学杂志》2015年第4期338-341,共4页Journal of International Neurology and Neurosurgery

基　　金：江西省科技厅科技支撑计划(20121BBG70039);江西省卫生厅科研项目(20121032)

摘　　要：目的探讨颈内动脉内膜剥脱术在症状性颈内动脉狭窄治疗中的临床应用价值。方法对2012年6月~2014年6月间在我院行颈内动脉内膜剥脱术的症状性颈内动脉狭窄病人的23例临床资料进行回顾性研究并随访。结果术后出现暂时性声音嘶哑1例,术侧多发小梗塞灶1例,颈部血肿保守治疗后恢复2例,未见肢体瘫痪、神志不清等严重并发症;术后CTA、DSA检查示颈动脉通畅;随访6月~2年未见血管再狭窄、严重脑缺血表现。结论颈内动脉内膜剥脱术治疗症状性颈内动脉狭窄是一种简单、安全、有效的治疗方法。Objective To study the clinical value of carotid endarterectomy in the treatment of symptomatic internal carotid artery stenosis. Methods The clinical data of 23 patients with symptomatic internal carotid stenosis undergoing carotid endarterectomy and followed up from June 2012 to June 2014 in our hospital were analyzed retrospectively. Results After operation,temporary hoarseness and multiple small infarct foci occurred in one case,respectively,and two cases of neck hematoma recovered after conservative treatment; there were no severe complications such as limb paralysis and impaired consciousness. Computed tomography angiography and digital subtraction angiography showed patency of the carotid artery. There were no symptoms of vascular restenosis and severe cerebral ischemia during the follow up for 6 months to 2 years. Conclusions Carotid endarterectomy for the treatment of symptomatic carotid stenosis is simple,safe,and effective.

关 键 词：颈内动脉内膜剥脱术 颈内动脉狭窄 外科治疗 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]