颈动脉狭窄手术治疗的临床研究  

Clinical research of surgical treatment in treating carotid artery stenosis

作　　者：刘来兴[1] 陆钰[1] 朱玉德[1] 刘福泉[1] 陈磊[1] 邓轶鑫[1] 王翔毅[1] 

机构地区：[1]内蒙古包钢医院,内蒙古包头014010

出　　处：《疾病监测与控制》2015年第11期780-782,共3页Journal of Diseases Monitor and Control

摘　　要：目的观察比较颈动脉内膜剥脱术(CEA)和颈动脉支架置入术(CAS)治疗颈动脉狭窄的安全性和有效性。方法回顾性分析内蒙古包钢医院30例行颈动脉内膜剥脱术及25例颈动脉狭窄支架置入术的颈动脉狭窄患者的资料。结果全组无手术死亡患者,术后即行脑血管造影及颈部多普勒检查,所有患者颈动脉血管狭窄缓解,脑部供血均有明显改善;术后4周内主要终点事件(卒中/心肌梗死)发生率CEA组为6.7%,CAS组为8.0%;术后6月随访,远期并发症发生率CEA10.0%,CAS组为8.0%;CEA的病例93.3%术后结果良好,CAS为92.0%。结论治疗颈动脉狭窄CEA与CAS具有同样明确疗效和安全性。Objective Observe and compare efficacy and safety of carotid endarterectomy and carotid stenting for the treatment of carotid stenosis. Methods Retrospect and analyze the cases of thirty patients who had surgical treatment in carotid endarterectomy and twenty-five had carotid stenting from Inner Mongolia Bao Gang Hos- pital. Results Full set of patients with no death. After the operate, we immediately observed the carotid artery narrow ease and the brain blood flow obviously improved by DSA and TCD. Four weeks after, the main events（apoplexy and myocardial infarcition） CEA 6.7% and CAS 8.0%. Six months after,the forward complication CEA 10% and CAS 8.0%. The 93.3% cases of CEA and 92.0% CAS had postoperative recovered well. Conclusion CEA and CAS in treatment carotid stenosis have the same effect and security.

关 键 词：颈动脉狭窄 手术治疗 疗效 安全性 

分 类 号：R663[医药卫生—外科学]