颈动脉支架术治疗颈动脉狭窄的临床效果分析  

Clinical Effect of Carotid Stenting in the Treatment of Carotid Artery Stenosis

作　　者：盛丹娜 Sheng Danna(Shenyang Kangping County People's Hospital,Shenyang 110500,Liaoning Province,China)

机构地区：[1]沈阳市康平县人民医院,辽宁沈阳110500

出　　处：《中外医药研究》2024年第34期63-65,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析颈动脉支架术(CAS)治疗颈动脉狭窄的临床效果。方法:选取2022年7月—2023年12月于沈阳市康平县人民医院拟行手术治疗的颈动脉狭窄患者80例为研究对象,按照随机数字表法分为对照组和研究组,各40例。对照组实施颈动脉内膜切除术,研究组实施CAS。对比两组手术相关指标,认知功能评分,并发症、颈动脉再狭窄、心脑血管意外事件发生情况。结果:研究组手术时间、住院时间短于对照组,术中出血量少于对照组(P<0.001)。术前,两组蒙特利尔认知评估量表评分对比,无统计学差异(P>0.05);术后6个月,两组蒙特利尔认知评估量表评分升高,研究组高于对照组(P<0.05)。研究组术后并发症总发生率低于对照组(P=0.023)。研究组颈动脉再狭窄率低于对照组(P=0.025)。研究组心脑血管意外事件发生率低于对照组(P=0.021)。结论:CAS治疗颈动脉狭窄的效果较好,术中损伤小,术后恢复快,且可改善患者认知功能,降低并发症、颈动脉再狭窄、心脑血管意外事件发生风险。Objective:To analyze the clinical effect of carotid stenting(CAS)in the treatment of carotid artery stenosis.Methods:A total of eighty patients with carotid artery stenosis who planned to undergo surgical treatment in Shenyang Kangping County People's Hospital from July 2022 to December 2023 were selected as the study objects,and were divided into control group and study group according to random number table method,with forty patients in each group.Carotid endarterectomy was performed in the control group and CAS was performed in the study group.The surgical related indexes,cognitive function scores,complications,carotid restenosis and cardiovascular and cerebrovascular accidents were compared between the two groups.Results:The operation time and hospital stay of the study group were shorter than those of the control group,and the amount of blood loss during operation was less than that of the control group(P<0.001).Before surgery,there was no significant difference in the scores of the Montreal cognitive assessment scale between the two groups(P>0.05);after surgery 6 months,the scores of the Montreal cognitive assessment scale increased in both groups,and the study group was higher than the control group(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group(P=0.023).The carotid restenosis rate in the study group was lower than that in the control group(P=0.025).The incidence of cardiovascular and cerebrovascular accidents in study group was lower than that in control group(P=0.021).Conclusion:CAS has a good effect in the treatment of carotid artery stenosis,with less intraoperative injury and faster postoperative recovery,and can improve patients'cognitive function and reduce the risk of complications,carotid artery stenosis and cardiovascular and cerebrovascular accidents.

关 键 词：颈动脉狭窄 颈动脉支架术 颈动脉内膜切除术 

分 类 号：R651.12[医药卫生—外科学]