| 摘要: |
| ［摘要］ 目的 总结颈动脉内膜剥脱术对防治缺血性脑卒中的经验。方法 对196例患者进行颈动脉内膜剥脱术，均为单侧。术中应用颈动脉转流管47例，阻断血流149例。术前均经颈动脉造影检查，选择颈内动脉狭窄>70%者133例，>95%者63例。71例患者并存冠状动脉病变，17例同台行冠状动脉搭桥。结果 术后临床症状改善满意191例，术后1周内出现脑出血3例，经开颅止血引流，痊愈1例，死亡2例。出现颈部切口内血肿12例，再手术清创止血获愈。随访6～60个月，获得随访166例，失访28例，死于其他疾病或灾祸38例，无脑缺血症状再发作128例。结论 颈动脉内膜剥脱术是治疗颈动脉重度狭窄的一种有效、安全术式。 |
| 关键词: 缺血性脑卒中 颈动脉狭窄 颈动脉内膜剥脱术 颈动脉转流管 |
| DOI：10.3969/j.issn.1674-3806.2013.10.10 |
| 分类号:R 74 |
| 基金项目: |
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| Effect of carotid endarterectomy in the prevention and treatment of ischemic strokcure |
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WANG Min, TONG Xian-zhou,TONG Lin-long
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Department of Vasular Surgery,Zhengzhou People′s Hospital，Henan 450003,China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience of carotid endarterectomy in prevention and treatment of the ischemic stroke.Methods From October 2001 to December 2011, 196 patients with unilateral internal carotid artery stenosis received carotid endarterectomy.In operation, carotid artery, shunts were applied in 47 cases, blocking blood flow in 149 cases. The preoperative carotid angiography showed internal carotid artery stenosis greater than 70% in 133 cases, more than 95% in 63 cases. There were 71 cases to be complicated by coronary artery lesions, 17 cases received coronary artery bypass simultaneously.Results The postoperative clinical symptoms improved in 191 cases, cerebral hemorrhage appeared in 3 cases within 1 week after operation, among them after the hemostatic craniotomy drainage, 1 case was healed, 2 cases died. In 12 cases hematoma appealed inside cervical incision and were cured by the surgical debridement hemostasis. All cases were followed up for 6 to 60 months, 166 cases received follow-up, lost fellow-up in 28 cases, 38 cases died of disaster or ill in a follow-up. There were no attack of cerebral ischemic symptoms again in128 cases.Conclusion Carotid endarterectomy is an effective and safe treatment for severe carotid artery stenosis. |
| Key words: Ischemic stroke Carotid artery stenosis Carotid endarterectomy Carotid artery shunt |
