动脉支架置入术治疗颅外颈动脉狭窄的疗效评价  

Therapeutic Effect Evaluation of Extracranial Carotid Artery Stenosis Treated by Arterial Stenting

作　　者：谷达军 郑华松 李金钊 刘飞 GU Dajun;ZHENG Huasong;LI Jinzhao;LIU Fei(Department of Encephalopathy,Chongqing Jiangjin District Hospital of Traditional Chinese Medicine,Chongqing 402260,China)

机构地区：[1]重庆市江津区中医院脑病科,重庆402260

出　　处：《中国继续医学教育》2020年第9期110-112,共3页China Continuing Medical Education

摘　　要：目的探究将动脉支架植入术应用于治疗颅外颈动脉狭窄的近期疗效。方法在本院数据库中调取时间段2017年5月-2019年2月间收入的16例动脉支架植入术治疗颅外颈动脉狭窄患者作为研究对象。对手术成功率进行记录,分析各项手术指标。结果治疗完成后,成功率为100%。而在治疗后,患者术后的凝血酶原时间以及活化部分凝血酶时间有明显缩短,患者体内的各项炎症指标升高(P <0.05)。结论采用动脉支架植入术对颅外颈动脉狭窄进行治疗,能够获得较为确切的治疗效果。但这种手术方案会引起患者手术后早期出现高凝状态和炎症反应。Objective To investigate the short-term effect of stent implantation in the treatment of extracranial carotid stenosis. Methods 16 patients with extracranial carotid artery stenosis who received stent implantation from May 2017 to February 2019 in our hospital database were studied. The success rate of the operation was recorded and the operation indexes were analyzed. Results After treatment, the success rate was 100%. After treatment, the prothrombin time and activated partial thrombin time were significantly shortened, and the inflammation indexes in patients were significantly increased(P < 0.05). Conclusion Extracranial carotid artery stenosis can be treated with stent implantation, which can obtain a more precise therapeutic effect. However, this procedure can cause hypercoagulability and inflammation early after surgery.

关 键 词：动脉支架置入术 颅外颈动脉狭窄 近期疗效 凝血功能指标 炎症反应 手术治疗 

分 类 号：R743[医药卫生—神经病学与精神病学]