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作 者:王相智 宋仁兴[2] WANG Xiangzhi;SONG Renxing(Weifang Medical University,Weifang 261000,China;Department Two of Neurosurgery,Weifang People′s Hospital,Weifang 261041,China)
机构地区:[1]潍坊医学院,山东潍坊261000 [2]潍坊市人民医院神经外二科,山东潍坊261041
出 处:《医学综述》2023年第24期5709-5713,共5页Medical Recapitulate
摘 要:颈动脉内膜剥脱术(CEA)是治疗颈动脉狭窄的标准疗法,其在缺血性脑卒中的预防中也具有重要作用。随着CEA在临床中的广泛应用,新的手术方式不断出现,主要包括传统CEA、外翻式CEA以及相关改良术式等。但目前关于CEA术式的有效性和安全性仍存在争议,尚需进一步研究明确。未来深入研究CEA在治疗颅外段颈动脉狭窄的手术指征、手术方式及手术相关问题等,可以为疾病的治疗提供新思路。Carotid endarterectomy(CEA)has become the standard treatment for the carotid artery stenosis and prevention of ischemic stroke.With the wide application of CEA in the clinic,new surgical modalities have been emerging constantly,mainly including traditional CEA,outward CEA,and related modified surgical modalities.However,the effectiveness and safety of CEA are still controversial and need to be clarified in future studies.In the future,in-depth research on the indications,surgical methods and related surgical problems of CEA in the treatment of extracranial carotid stenosis can provide new ideas for the treatment of the disease.
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