颈动脉内膜剥脱术治疗对颅外颈动脉狭窄患者的有效性及安全性  

Efficacy and Safety of carotid Endarterectomy for Patients with extracranial carotid Artery Stenosis

作　　者：铁江辉 马琳[2] 李庆菲 TIE Jianghui;MA Lin;LI Qingfei(Department of Neurosurgery,Gongyi People's Hospital,Gongyi Henan 451200,China;Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300000,China)

机构地区：[1]巩义市人民医院神经外科,河南巩义451200 [2]天津市环湖医院神经外科,天津300000

出　　处：《临床研究》2024年第3期11-13,共3页Clinical Research

摘　　要：目的探究为颅外颈动脉狭窄患者应用颈动脉内膜剥脱术治疗的临床效果。方法对2020年1月至2021年12月巩义市人民医院和天津市环湖医院收治的42例满足外科手术指征的颅外颈动脉狭窄患者,以对患者展开手术治疗措施差异作为分组标准,分为对照组与观察组,各21例。两组患者分别应用颈动脉支架置入术治疗、颈动脉内膜剥脱术治疗。比较两组患者在术后颈动脉狭窄再通率、围术期并发症事件及随访1年间心血管事件发生率。结果对照组患者颈动脉狭窄再通率与观察组患者比较,差异无统计学意义(P>0.05)。对照组患者在围术期并发症发生情况与观察组比较,差异无统计学意义(P>0.05)。随访1年,末次随访对照组患者出现心血管事件例数与观察组比较,差异无统计学意义(P>0.05)。结论颈动脉内膜剥脱术对颅外颈动脉狭窄应用有较高的再通成功率,且患者治疗期间出现相关不良风险偏低,对于患者在治疗的有效性、安全性均有重要价值。Objective To explore the clinical efficacy of carotid endarterectomy in the treatment of extracranial carotid artery stenosis patients.Methods A total of 42 patients with extracranial carotid artery stenosis who met surgical indications and were admitted to Gongyi People's Hospital and Tianjin Huanhu Hospital from January 2020 to December 2021 were divided into control group and observation group based on differences in surgical treatment measures,with 21 patients in each group.Two groups of patients were treated with carotid stent placement and carotid endarterectomy,respectively.The rates of postoperative carotid artery stenosis recanalization,perioperative complications,and 1-year follow-up cardiovascular events between two groups of patients were compared.Results There was no statistically significant difference(P>0.05)in the reperfusion rate of carotid artery stenosis between the control group and the observation group.There was no statistically significant difference in the incidence of perioperative complications between the control group and the observation group(P>0.05).After one-year follow-up,there was no statistically significant difference in the number of cardiovascular events between the control group and the observation group in the last follow-up(P>0.05).Conclusion Carotid endarterectomy has a high success rate for recanalization of extracranial carotid artery stenosis,and the associated adverse risk during treatment is low,which is of great value for the effectiveness and safety of treatment for patients.

关 键 词：颈动脉内膜剥脱术 颅外颈动脉狭窄 临床效果 

分 类 号：R543.5[医药卫生—心血管疾病]