颈动脉支架植入术治疗颈动脉狭窄的临床效果分析  

Clinical Analysis of Carotid Artery Stenting for Carotid Stenosis

作　　者：雷源标[1] LEI Yuan-biao(First People's Hospital of Chenzhou,Chen Zhou Hunan Province,423000 China)

机构地区：[1]湖南省郴州市第一人民医院

出　　处：《系统医学》2019年第9期108-110,共3页Systems Medicine

摘　　要：目的探讨颈动脉支架植入术治疗颈动脉狭窄的临床效果。方法回顾性分析该院自2016年1月-2018年1月收治的80例颈动脉狭窄患者临床资料,按照手术方法将其分为观察组(40例,颈动脉支架植入术治疗)与参考组(40例,颈动脉内膜剥脱术治疗),观察两组近期及远期预后。结果观察组、参考组颈动脉狭窄率分别为5.0%、7.50%,两组比较差异无统计学意义(χ^2=0.213,P=0.644);观察组患者颈总动脉、颈内动脉收缩期峰流速均明显小于参考组(P<0.05);观察组、参考组术后并发症发生率分别为0.0%、15.0%,两组比较有统计学意义(χ^2=6.486,P=0.011);术后3个月、6时,观察组堪的那维亚神经卒中量表(SSS)评分、日常生活活动能力量表(ADL)评分明显优于参考组(P<0.05)。结论颈动脉支架植入术治疗颈动脉狭窄能够改善血管情况,有助于患者神经功能及生活质量的提高,且术后并发症发生率低,可在临床推广使用。Objective To investigate the clinical effect of carotid artery stenting in the treatment of carotid stenosis.Methods The clinical data of 80 patients with carotid stenosis admitted to our hospital from January 2016 to January2018 were retrospectively analyzed. According to the surgical method, they were divided into observation group(40 cases, with carotid artery stenting), and the reference group(40 cases, with carotid endarterectomy). The short-term and long-term prognosis of the two groups were observed.Results The carotid stenosis rate of the observation group and the reference group were 5.0% and 7.5%, respectively. There was no significant difference between the two groups(χ^2=0.213, P =0.644). The peak flow velocity of the common carotid artery and internal carotid artery in the observation group were significantly smaller than those in the reference group(P<0.05). The postoperative complications of the observation group and the reference group were 0.0% and 15.0%, respectively. The difference between two groups was statistically significant(χ^2=6.486, P=0.011). After 3 months and 6 months of surgery, the Kanneda Neurological Stroke Scale(SSS) score and the Activity of Daily Living Capacity Scale(ADL) score of the observation group were significantly better than those of the reference group(P<0.05). Conclusion Carotid artery stenting can improve the vascular condition, neurological function and quality of life. The postoperative complication rate of carotid artery stenting is low. It can be used in clinical practice.

关 键 词：颈动脉支架植入术 颈动脉狭窄 颈动脉内膜剥脱术 

分 类 号：R654[医药卫生—外科学]