摘要
目的探讨小卒中后不同时间行颈动脉内膜剥脱手术的临床疗效。方法回顾性分析自2019年1月至2020年12月北部战区总医院收治的372例小卒中后行颈动脉内膜剥脱手术治疗患者的临床资料。根据不同手术时间将患者分为A组(2周内手术,n=55)、B组(2~4周手术,n=107)、C组(4周以上手术,n=210)。随访记录3组患者术后主要不良事件,次要不良事件。比较各组患者术后改良Rankin量表(mRS)评分。结果各组患者主要不良事件(脑卒中发生率、死亡发生率)比较,差异无统计学意义(P>0.05)。各组患者次要不良事件(血流动力学抑制事件发生率、主要局部并发症发生率、高灌注综合征发生率)比较,差异无统计学意义(P>0.05)。各组患者mRS评分比较,差异无统计学意义(P>0.05)。结论对于发生小卒中的颈动脉狭窄患者,可适当提前手术时间,解除血管狭窄,起到预防脑梗塞的作用。
Objective To compare the effects of carotid endarterectomy(CEA)at different times after minor stroke.Methods A retrospective analysis was performed on the clinical data of 372 minor stroke patients who underwent CEA in the General Hospital of Northern Theater Command from January 2019 to December 2020.According to different operation time,patients were divided into group A(operation within 2 weeks,n=55),group B(operation within 2 to 4 weeks,n=107),and group C(operation over 4 weeks,n=210).Major adverse events and minor adverse events were recorded in 3 groups.The postoperative modified Rankin scale(mRS)score of each group was compared.Results There was no significant difference in the incidence of stroke and death among all groups(P>0.05).There were no significant differences in the incidence of hemodynamic suppression events,major local complications and hyperperfusion syndrome among all groups(P>0.05).There was no significant difference in mRS score among all groups(P>0.05).Conclusion For patients with carotid artery stenosis in minor stroke,the operation time can be appropriately advanced to relieve vascular stenosis and play a role in preventing cerebral infarction.
作者
艾运政
王晓刚
赖杰宇
李创忠
王二威
董金鹏
梁国标
AI Yun-zheng;WANG Xiao-gang;LAI Jie-yu;LI Chuang-zhong;WANG Er-wei;DONG Jin-peng;LIANG Guo-biao(Department of Neurosurgery,General Hospital of Northern Theater Command,Shenyang 110016,China;General Hospital of Northern Theater Command Graduate Training Base of Dalian Medical University,Shenyang 110016,China)
出处
《临床军医杂志》
CAS
2022年第1期14-16,共3页
Clinical Journal of Medical Officers
基金
国家自然科学基金(81971133)
