颈动脉内膜剥脱术与颈动脉支架植入术治疗颈动脉粥样硬化性狭窄患者的效果比较  

Comparison of effects of carotid endarterectomy and carotid artery stent implantation in treatment of patients with carotid atherosclerotic stenosis

作　　者：王廉[1] WANG Lian(Department of Neurosurgery of the Central Hospital of Jiamusi City,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯市中心医院神经外科,黑龙江佳木斯154002

出　　处：《中国民康医学》2023年第3期143-145,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较颈动脉内膜剥脱术与颈动脉支架植入术治疗颈动脉粥样硬化性狭窄患者的效果。方法:选取2020年3月至2022年3月该院收治的80例颈动脉粥样硬化性狭窄患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各40例。对照组实施颈动脉支架植入术治疗,观察组实施颈动脉内膜剥脱术治疗,比较两组临床疗效、治疗费用、术后住院时间、并发症发生率和治疗前后Barthel指数(BI)评分。结果:观察组治疗总有效率为95.00%,明显高于对照组的77.50%,差异有统计学意义(P<0.05);观察组治疗费用低于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.05);出院时,两组BI评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:颈动脉内膜剥脱术治疗颈动脉粥样硬化性狭窄患者可提高治疗总有效率和BI评分,缩短住院时间,以及降低治疗费用,效果优于颈动脉支架植入术。Objective:To compare effects of carotid endarterectomy and carotid artery stent implantation in treatment of patients with carotid atherosclerotic stenosis.Methods:A prospective study was conducted on 80 patients with carotid atherosclerotic stenosis admitted to this hospital from March 2020 to March 2022.They were divided into observation group and control group according to the random number table method,40 cases in each.The control group was treated with carotid artery stent implantation,while the observation group was treated with carotid endarterectomy.The clinical efficacy,the treatment cost,the postoperative hospitalization time,the incidence of postoperative complications,and the Barthel index(BI)score were compared between the two groups.Results:The total effective rate of treatment in the observation group was 95.00%,which was significantly higher than 77.50%in the control group,and the difference was statistically significant(P<0.05).The treatment cost of the observation group was lower than that of the control group,the postoperative hospitalization time was shorter than that of the control group,and the differences were statistically significant(P<0.05).At discharge,the BI scores of the two groups were higher than those before the treatment,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Carotid endarterectomy for the patients with carotid atherosclerotic stenosis can improve the total effective rate and the BI score,shorten the hospitalization time,and reduce the treatment cost.Moreover,it is superior to carotid artery stent implantation.

关 键 词：颈动脉内膜剥脱术 颈动脉支架植入术 颈动脉粥样硬化性狭窄 住院时间 并发症 治疗费用 

分 类 号：R653[医药卫生—外科学]