颈动脉内膜剥脱术治疗颈内动脉重度狭窄60例临床分析  

Carotid endarterectomy for severe internal carotid artery stenosis:A clinical analysis of 60 cases

作　　者：刘博 张宗强 何博 侯文蛟 LIU Bo;ZHANG Zongqiang;HE Bo;HOU Wenjiao(Department of Neurosurgery,Xinjiang Yining Corps Fourth Division Hospital,Yining 835000,Xinjiang,China)

机构地区：[1]新疆伊宁市兵团四师医院神经外科,新疆伊宁835000

出　　处：《外科研究与新技术》2022年第2期87-89,共3页Surgical Research and New Technique

摘　　要：目的观察分析颈动脉内膜剥脱术治疗重度颈内动脉狭窄的临床效果。方法选取2018年3月—2021年3月新疆伊宁市兵团四师医院神经外科收治的颈内动脉狭窄患者120例为研究对象,随机分为对照组(n=60,行颈动脉支架置入术)和观察组(n=60,行颈动脉内膜剥脱术);比较两组患者治疗后认知功能、生存质量、临床疗效及术后并发症。结果治疗前,两组WHOQOL-BREF评分、MoCA评分无统计学差异(P>0.05);治疗后,两组WHOQOL-BREF评分、MoCA评分改善明显且观察组显著高于对照组(P<0.05);观察组临床总有效率显著高于对照组(P<0.05);观察组并发症总发生率显著低于对照组(P<0.05)。结论颈动脉内膜剥脱术治疗重度颈内动脉狭窄的临床效果显著,可明显改善患者颈动脉血运,提升患者认知功能和生存质量。Objective To observe and analyze the clinical effect of carotid endarterectomy on severe internal carotid artery stenosis.Methods From March 2018 to March 2021,a total 120 cases of internal carotid artery stenosis admitted to the Department of Neurosurgery of Xinjiang Yining Corps Fourth Division Hospital were selected as study subjects and randomly divided into a control group(n=60,carotid artery stenting)and an observation group(n=60,carotid endarterectomy).Cognitive function after operation,quality of life,clinical efficacy,and postoperative complications were compared between the two groups.Results Before treatment,there were no significant differences in WHOQOL-BREF score and MoCA score between the two groups(P>0.05).After treatment,the WHOQOL-BREF score and MoCA score of the two groups were improved significantly,and the scores in the observation group were significantly higher than those in the control group(P<0.05).The total clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05).The total incidence rate of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Carotid endarterectomy shows an obvious clinical effect on severe internal carotid artery stenosis;it can significantly improve patients’carotid artery blood supply,cognitive function,and quality of life.

关 键 词：颈内动脉 重度狭窄 内膜剥脱术 认知功能 生存质量 

分 类 号：R651.1[医药卫生—外科学]