| 颈动脉内膜剥脱术及颈动脉支架置入术治疗颅外颈动脉硬化狭窄术后早期并发症比较 |
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| 引用本文： | 卫志庆,杨其鹏,黄佃,乔威,刘长建. 颈动脉内膜剥脱术及颈动脉支架置入术治疗颅外颈动脉硬化狭窄术后早期并发症比较[J]. 中国修复重建外科杂志, 2011, 0(3): 337-340 |
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| 作者姓名： | 卫志庆 杨其鹏 黄佃 乔威 刘长建 |
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| 作者单位： | 南京大学医学院附属鼓楼医院血管外科;南京医科大学第二附属医院血管外科; |
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| 摘 要： | 目的比较颈动脉内膜剥脱术(carotid endarterectomy,CEA)及颈动脉支架置入术(carotid stenting,CAS)治疗颅外颈动脉硬化狭窄后早期并发症发生情况,为临床治疗方法的选择提供理论依据。方法 2005年1月-2007年12月,分别采用CEA(CEA组,36例)和CAS(CAS组,27例)治疗63例颅外颈动脉狭窄患者。男42例,女21例;年龄52～79岁,平均67.5岁。左侧28例,右侧35例。颈动脉狭窄度为60%～95%,平均79%。主要临床症状为中风和短暂性脑缺血发作。头颅CT检查:24例有陈旧性脑梗死(cerebral infarction,CI),22例见多发性腔隙性CI,余17例未见明显异常。分析两种术式治疗后7 d内脑部、心血管及局部并发症发生情况。结果术后7 d内CEA组3例(8.3%)出现脑部并发症,2例(5.6%)出现心血管并发症,5例(13.9%)出现局部并发症;CAS组8例(29.6%)出现脑部并发症,1例(3.7%)出现心血管并发症,3例(11.1%)出现局部并发症;CAS组患者脑部并发症发生率明显高于CEA组,差异有统计学意义(χ2=4.855,P=0.028);但两组心血管、局部并发症发生率以及总并发症发生率比较,差异均无统计学意义(P>0.05)。结论对于颅外颈动脉硬化狭窄患者,CEA是首选治疗方式。
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| 关 键 词： | 颈动脉狭窄 颈动脉内膜剥脱术 颈动脉支架置入术 并发症 |
COMPARISON OF EARLY COMPLICATIONS IN TREATMENT OF CAROTID ARTERY STENOSIS WITH CAROTID ENDARTERECTOMY AND CAROTID STENTING |
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| WEI Zhiqing,,YANG Qipeng,HUANG Dian,QIAO Wei,LIU Changjian. COMPARISON OF EARLY COMPLICATIONS IN TREATMENT OF CAROTID ARTERY STENOSIS WITH CAROTID ENDARTERECTOMY AND CAROTID STENTING[J]. Chinese journal of reparative and reconstructive surgery, 2011, 0(3): 337-340 |
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| Authors: | WEI Zhiqing YANG Qipeng HUANG Dian QIAO Wei LIU Changjian |
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| Affiliation: | WEI Zhiqing1,2,YANG Qipeng2,HUANG Dian1,QIAO Wei1,LIU Changjian1.1Department of Vascular Surgery,Drum Tower Hospital,Affiliated Hospital of Medical College,Nanjing University,Nanjing Jiangsu,210008,P.R.China,2Department of Vascular Surgery,the Second Affiliated Hospital of Nanjing University. |
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| Abstract: | Objective To compare the early complications of carotid stenting(CAS) and carotid endarterectomy(CEA) in treatment of carotid artery stenosis.Methods Between January 2005 and December 2007,63 patients with carotid artery stenosis were treated with CEA in 36 cases(CEA group) and with CAS in 27 cases(CAS group).There were 42 males and 21 females with an average age of 67.5 years(range,52-79 years).The locations were the left side in 28 cases and the right side in 35 cases.The carotid stenosis was 60%-95%(mean... |
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| Keywords: | Carotid artery stenosis Carotid endarterectomy Carotid stenting Complication |
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