多模态监测下颈动脉内膜剥脱术治疗颈内动脉重度狭窄  

Carotid endarterectomy under multimodal monitoring for severe internal carotid artery stenosis

作　　者：易竟 姚陵[1] 文江力 阙思伟[1] Yi Jing;Yao Ling;Wen Jiangli;Que Siwei(Department of Neurosurgery,The First People’s Hospital of Changde City,Changde 415003 China)

机构地区：[1]常德市第一人民医院神经外科,湖南常德415003

出　　处：《中华脑科疾病与康复杂志（电子版）》2022年第3期167-170,共4页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

基　　金：湖南省临床医疗技术创新引导项目(2018SK50201);常德市科技局项目(2020S028)。

摘　　要：目的探讨多模态监测下颈动脉内膜剥脱术治疗颈内动脉重度狭窄的临床疗效。方法回顾性分析常德市第一人民医院神经外科自2018年1月至2021年9月实施颈动脉内膜斑块剥脱术治疗的15例颈内动脉重度狭窄患者的基本资料、术后并发症和复查情况。结果1例患者在预阻断时,多普勒提示血流下降50%,但电生理未提示异常,提高血压,未予以术中转流;3例患者电生理及多普勒同时提示低灌注,予以术中转流后均好转。术后所有患者无明显并发症,术后复查未见再狭窄。结论多模态监测下颈动脉内膜剥脱术治疗颈内动脉重度狭窄安全有效。Objective To investigate the clinical efficacy of carotid endarterectomy under multimodal monitoring in the treatment of severe internal carotid artery stenosis.Methods The basic data,postoperative complications and postoperative reexamination of 15 patients with severe internal carotid artery stenosis treated by carotid intimal plaque stripping in the Neurosurgery Department of The First People’s Hospital of Changde City from January 2018 to September 2021 were analyzed retrospectively.Results In one patient during pre-blocking,Doppler showed that the blood flow decreased by 50%,but the electrophysiology did not indicate abnormality,increased blood pressure and did not convert to blood flow.Electrophysiology and Doppler showed hypoperfusion in 3 patients,which improved after intraoperative conversion.All patients had no obvious complications after operation,and there was no restenosis after operation.Conclusion Carotid endarterectomy under multimodal monitoring is safe and effective in the treatment of severe internal carotid artery stenosis.

关 键 词：颈内动脉狭窄 多模态监测 颈动脉内膜剥脱术 

分 类 号：R543.4[医药卫生—心血管疾病]