颈动脉外科的现状与问题  

Current status and problems of carotid surgery

作　　者：任金锐 顾光超 李方达[1] 郑月宏[1] Ren Jinrui;Gu Guangchao;Li Fangda;Zheng Yuehong(Department of Vascular Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院血管外科,北京100730

出　　处：《血管与腔内血管外科杂志》2021年第5期580-584,共5页Journal of Vascular and Endovascular Surgery

摘　　要：颈动脉外科是颈动脉疾病如颈动脉狭窄性疾病、扩张性疾病、肿瘤性疾病的主要治疗方式,包含药物治疗、开放手术、腔内治疗等。目前颈动脉外科仍面临诸多问题,颈动脉疾病外科治疗过程中许多方面尚缺乏明确指南与共识,同时面临颈动脉疾病的病因机制尚不明确,颈动脉疾病手术器械、手术方式、诊疗理念亟待更新,颈动脉外科诊疗体系、多学科协作、大数据平台尚未成形等复杂现状。因此,颈动脉外科的发展需要立足于现有问题,从多方面着手,本文通过总结国内外颈动脉外科的相关研究,以期了解颈动脉外科的现状,从而促进颈动脉外科的长远发展。Carotid surgery is the main treatment for carotid artery diseases,such as carotid artery stenosis,dilated diseases and neoplastic diseases,including medical treatment,open surgery and endovascular therapies.Currently,there are still many problems for carotid surgery and many aspects of the carotid surgical treatments lacking guidelines and consensus.Meanwhile,the etiological mechanisms of many carotid diseases are also unclear,the surgical instruments,procedures and the concepts of carotid diseases diagnosis or treatment need to be updated urgently and diagnosis and treatment service system of carotid surgery,multidisciplinary collaboration and big data platforms have not yet taken shape.Therefore,the development of carotid surgery needs to be based on current conditions,and it should be further developed and improved in many aspects,this paper summarizes the relevant research of carotid surgery at home and abroad in order to understand the current situation of carotid surgery and promote the long-term development of carotid surgery.

关 键 词：颈动脉疾病 外科治疗 现状 问题 

分 类 号：R543[医药卫生—心血管疾病]