摘要
目的:总结颈动脉内膜切除术(CEA)治疗颈动脉狭窄的临床经验。方法:1998年10月至2010年3月,共220例患者进行CEA227例次。其中男性145例,女性75例。年龄51～88岁,平均66.4岁。术前有短暂性脑缺血(TIA)发作128例,31例术前曾患脑梗死。所有患者术前均行选择性颈动脉造影检查,手术患者颈内动脉狭窄均>70%,同时对侧颈动脉伴有狭窄或闭塞的患者有48例。合并冠状动脉病变96例,其中25例患者同期行冠状动脉搭桥术,合并外周血管病变42例并同期处理。结果:2例患者术后30d内出现脑出血,其中1例死亡,1例保守治疗后好转出院。30d病死率0.45%。1例舌下神经损伤,4例面神经下颌缘支损伤,术后随访6～72个月,随防到155例,随访率70.5%,1例随访期间因心脏病死亡,余均病情稳定。结论:CEA是治疗颈动脉狭窄安全、有效的方法。
Objective：To summarize clinical experience of surgical treatment for severe stenosis of carotid artery.Methods：227 carotid endartarectomy（CEA） for 220 patents with carotid artery stenosis were treated from Oct.1998 to March,2010.145 cases are male,75 cases are female.Age ranged from 51-88 years old（average：66.4 years old）.Transient ischemic attack（TIA） involved in 128 cases,31 cases had history of cerebral infarction.All cases were diagnosed by selective angiography,more than 70% stenosis was seen in all cases;contralateral carotid artery was also involved in 48 cases;96 cases were found coronary artery stenosis by coronary angiography.Combined CEA and coronary artery bypass grafting（CABG） were performed in 25 cases.42 cases were found peripheral artery disease,Simultaneously surgical or endovascular treatment were done for them.Results：clinical symptom significant alleviated in all cases postoperatively,1 patient died of cerebral hemorrhage within 30 days,30-day mortality is 0.45%.1 case had hypoglossal nerve injury,4 cases had the marginal mandibular branch of the facial nerve injury.Follow-up period was 6-72 months,155 cases were reached during follow-up,follow-up rate was 70.5%.1 case was died of heart attack during follow up period.Conclusion：CEA is an effective and safe treatment for severe stenosis of carotid artery.
出处
《心肺血管病杂志》
CAS
2010年第6期468-470,共3页
Journal of Cardiovascular and Pulmonary Diseases
