60例老年患者行颈动脉内膜剥脱术的临床体会  

Clinical analysis of carotid endarterectomy in 60 elderly patients

作　　者：崔凤奎[1] 鹿凯[1] 姜国忠[1] 李雪岩[1] 刘巍立[1] Cui Fengkui;Lu Kai;Jiang Guozhong;Li Xueyan;Liu Weili(,Department of Vascular Surgery,Daqing Oilfield General Hospital,Daqing 163316,Heilongjiang China)

机构地区：[1]大庆油田总医院血管外科,黑龙江大庆163316

出　　处：《血管与腔内血管外科杂志》2018年第1期11-15,32,共6页Journal of Vascular and Endovascular Surgery

摘　　要：目的总结大庆地区颈动脉内膜剥脱术(CEA)治疗有症状颈动脉粥样硬化性狭窄的疗效及并发症。方法回顾性分析2014年6月至2017年6月应用CEA治疗颈动脉粥样硬化性狭窄的60例老年患者的临床资料,探讨手术适应证、疗效及手术并发症的预防。结果 59例患者获得良好的临床受益,1例术后6 d死于大面积脑梗死。术后7例出现轻度脑神经功能障碍,未予处置,3个月后症状消失。术后血压不稳定7例,其中偏高5例,但均能经药物控制,随访6个月复查CTA,3例出现再狭窄。结论 CEA在大庆地区一级医院的实行是安全可行的。Objective To summarize the surgical outcome and complications of carotid endarterectomy（CEA） for symptomatic carotid in Da Qing field. Methods Clinical data of 60 elderly patients with symptomatic carotid stenosis undergoing CEA from July 2014 to July 2017 were analyzed retrospectively. The indications, outcome and prevention of complications were investigated. Results Fifty-nine patients had good clinical benefit, and one patient died of largearea cerebral infarction 6 days after surgery. 7 cases had mild cerebral neurological dysfunction after surgery and were not treated. The symptoms disappeared after 3 months. Postoperative blood pressure was unstable in 7 cases, of which 5 cases were high, but all were controlled by drugs. CTA was followed up for 6 months and restenosis occurred in 3 cases. Conclusions CEA is a safe and effective method for carotid stenosis for patients in Da Qing field.

关 键 词：颈动脉内膜剥脱术 颈动脉狭窄 动脉硬化 

分 类 号：R654.34[医药卫生—外科学] R651.12[医药卫生—临床医学]