颈内动脉内膜剥脱术治疗颈动脉硬化狭窄后早期并发症的疗效分析  

Effect of internal Carotid Endarterectomy in the Treatment of Early Complications of Carotid Artery Stenosis

作　　者：项素娥 

机构地区：[1]睢县中医院神经内科,河南商丘476000

出　　处：《临床研究》2018年第3期37-38,共2页Clinical Research

摘　　要：目的探讨对于颈动脉硬化狭窄采取颈内动脉内膜剥脱术的治疗效果。方法选取近两年在我院经临床病理学检查和临床治疗证实的80例颈动脉硬化狭窄患者,采用随机分配法,平均每组40人,其中对照组进行颈动脉支架植入术(CAS),观察组为颈动脉内膜剥脱术治疗,且两组患者治疗均由本院独立完成。结果对照组患者脑部总并发症(37.5%)远远高于观察组的脑病总并发症(12.50%),差异具有统计学意义(P<0.05);两组患者经不同方法治疗后局部并发症情况差异无统计学意义(P>0.05)。结论对于颈内动脉硬化狭窄患者,应用颈内动脉内膜剥脱术,患者症状改善明显,脑部并发症概率低,改善患者生活质量。Objective To investigate the effect of carotid artery stenosis with internal carotid endarterectomy.Methods A total of 80 patients with carotid arteriosclerosis stenosis diagnosed by clinical pathology and clinical treatment were enrolled in past two years.All subjects were randomized into two groups,40 cases in each group.The control group was treated with carotid artery stenting（CAS）.The observation group received carotid endarterectomy.Both groups were independently completed In our hospital.Results The total complication of brain in the control group（37.5%）was significantly higher than that in the observation group（12.50%）,the difference was statistically significant（P〈0.05）.There was no statistical difference of local complications between the two groups（P〈0.05）.ConclusionFor patients with internal carotid artery stenosis,internal carotid endarterectomy improves the symptoms,reduces brain complications,and improves the quality of life.It is worthy of clinical application.

关 键 词：颈动脉硬化狭窄 颈内动脉内膜剥脱术 临床疗效 

分 类 号：R743[医药卫生—神经病学与精神病学]