解放军医药杂志Issue(5)：48-50,3.DOI:10.3969/j.issn.2095-140X.2014.05.013
颈动脉内膜切除术治疗颈动脉狭窄46例临床分析
Clinical Analysis of Carotid Endarterectomy in Treatment of 46 Patients with Carotid Stenosis
摘要
Abstract
Objective To investigate the indications and effect of carotid endarterectomy ( CEA) . Methods A total of 46 patients with carotid stenosis undergoing CEA in vascular surgery department of Shandong Provincial Hospital during January 2009 and December 2013 were enrolled in this study. There were 29 males and 17 females;the mean age was 67. 2 years old;the mean course of disease was 4. 1 years;carotid lesions located on left-side in 19 cases, on right-side in 18 cases and bilateral in 9 cases. All the patients had brain ischemia in different degrees. Results CEA was suc-cessfully performed in 46 patients with a mean operation time of 90 min and a mean carotid blocking time of 14 min. Ca-rotid patch was applied in 23 cases, and carotid shunt was used in 22 cases. Carotid stent implantation was performed in 2 cases because of mezzanine induced by postoperative carotid intima avulsion. Three patients had postoperative cerebral infarction, and were discharged after rehabilitation without sequelae by symptomatic treatment. All the patients were fol-lowed up for a mean period of 21 months. Carotid stenosis ( stenosis degree <60%) was observed with ultrasonography in 2 cases 12 months after operations without any symptoms or treatment. Conclusion Carotid endarterectomy is a cheap, simple and effective method to prevent carotid artery stenosis and cerebral apoplexy.关键词
颈动脉内膜切除术/颈动脉狭窄/脑缺血Key words
Carotid endarterectomy/Carotid stenosis/Brain ischemia分类
医药卫生引用本文复制引用
宋洪生,吴芳,孙岩,袁海..颈动脉内膜切除术治疗颈动脉狭窄46例临床分析[J].解放军医药杂志,2014,(5):48-50,3.基金项目
国家自然科学基金青年科学基金资助项目(81000186) （81000186）
