颈动脉内膜斑块剥脱术治疗颈动脉狭窄的临床效果及并发症发生率研究  

Study on the Clinical Effect and Complication Rate of Carotid Endarterectomy Plaque in the Treatment of Carotid Artery Stenosis

作　　者：刘伟[1] 戴晶 胡林 白旭升 阿力木江[1] LIU Wei;DAI Jing;HU Lin;BAI Xusheng;Alimujiang(Department of Neurology,Changji Branch of the First Affiliated Hospital of Xinjiang Medical University,Changji,Xinjiang Uygur Autonoous Region,831100 China)

机构地区：[1]新疆医科大学第一附属医院昌吉分院神经医学科,新疆昌吉831100

出　　处：《系统医学》2021年第22期114-117,共4页Systems Medicine

摘　　要：目的探究颈动脉内膜斑块剥脱术治疗颈动脉狭窄的临床效果及并发症发生率。方法于2018年8月—2021年4月选取该院就诊的颈动脉狭窄患者72例为研究对象,实施对比性研究,36例患者接受传统颈动脉内膜斑块剥脱术医治,命名为手术①组;另36例患者接受外翻式颈动脉内膜斑块剥脱医治,命名为手术②组。通过比较两组临床病情控制有效率、平均手术所需时间、平均住院时间、斑块面积、内膜中层厚度IMT值、并发症发生率,来评估不同术型的治疗效果。结果手术②组临床病情控制有效率为94.44%,高于手术①组的77.78%,差异有统计学意义(χ^(2)=4.181,P=0.041);手术②组平均手术所需时间(86.11±18.38)min、平均住院时间(14.09±1.12)d,短于手术①组的(121.45±25.46)min、(16.78±2.15)d,差异有统计学意义(t=6.753、6.658,P<0.05);手术②组斑块面积(22.09±4.15)%,小于手术①组的(47.18±6.33)%,差异有统计学意义(t=19.889,P<0.05);手术②组内膜中层厚度IMT(0.98±0.03)mm,厚于手术①组的(0.67±0.01)mm,差异有统计学意义(t=58.818,P<0.05);手术②组并发症发生率为5.56%,低于手术①组的22.22%,差异有统计学意义(χ^(2)=4.181,P=0.041)。结论对颈动脉狭窄患者而言,开展外翻式颈动脉内膜斑块剥脱术医治,能达到更佳的医治效果,并且能提高手术安全性,缩短平均手术所需时间、平均住院时间,更值得推荐。Objective To explore the clinical effect and complication rate of carotid endarterial plaque exfoliation in the treatment of carotid artery stenosis.Methods From August 2018 to April 2021,72 patients with carotid artery stenosis in the hospital were selected as the research objects,and a comparative study was carried out.36 patients received traditional carotid artery endarterial plaque exfoliation and were named as operation group ①;another 36 patients received valgus carotid artery endarterial plaque exfoliation treatment,named as operation group ②.By comparing the effective rate of clinical disease control,average operation time,average hospital stay,plaque area,intima-media thickness,IMT value,and complication rate between the two groups,the treatment effects of different surgical types were evaluated.Results The effective rate of clinical disease control in the operation group ② was 94.44%,which was higher than that of 77.78% in the operation group ①,and the difference was statistically significant(χ^(2)=4.181,P=0.041).In the operation group ②,the average operation time(86.11±18.38)min and the average hospitalization time(14.09±1.12)d were shorter than those in the operation group①(121.45±25.46)min and(16.78±2.15)d,and the difference was statistically significant(t=6.753,6.658,P<0.05).The level of plaque area in the operation group ② was(22.09±4.15)%,which was smaller than(47.18±6.33)% in the operation group ①,and the difference was statistically significant(t=19.889,P<0.05).The IMT level value of the intima-media thickness of the operation group ② was(0.98±0.03)mm,which was thicker than the(0.67±0.01)mm of the operation group ①,and the difference was statistically significant(t=58.818,P<0.05).The complication rate of the operation group ② was 5.56%,which was lower than that of the operation group ① 22.22%,and the difference was statistically significant(χ^(2)=4.181,P=0.041).Conclusion For patients with carotid artery stenosis,valgus carotid endarterial plaque exfoliation ca

关 键 词：外翻式颈动脉内膜斑块剥脱术 传统颈动脉内膜斑块剥脱术 颈动脉狭窄 并发症发生率 斑块面积 

分 类 号：R651[医药卫生—外科学]