| 颈动脉狭窄的手术治疗 |
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| 引用本文： | Liu P,Ye Z,Fan X,Wang F,Lin F,Cao D,Yang Y,Wang F. 颈动脉狭窄的手术治疗[J]. 中国修复重建外科杂志, 2010, 24(9): 1027-1029 |
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| 作者姓名： | Liu P Ye Z Fan X Wang F Lin F Cao D Yang Y Wang F |
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| 作者单位： | 中日友好医院心脏·血管外科; |
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| 摘 要： | 目的总结颈动脉内膜切除术(carotid endarterectomy,CEA)治疗颈动脉狭窄的临床经验及疗效。方法 1998年10月-2010年1月,对215例颈动脉狭窄患者行CEA治疗。男140例,女75例;年龄51～88岁,平均66岁。术前有短暂性脑缺血发作(transient ischemic attack,TIA)127例,有脑梗死病史31例。患者术前均行选择性颈动脉造影检查和/或CT血管造影明确颈动脉狭窄,狭窄程度均80%,同时伴对侧颈动脉狭窄或闭塞45例。合并冠状动脉病变96例,其中25例同期行冠状动脉搭桥术;合并外周血管病变43例并同期处理。结果术后155例获随访,随访时间6～72个月。其中148例术前临床症状均改善。术后1周内2例出现脑出血,1例经保守治疗后好转出院,1例死亡。术中1例舌下神经损伤、4例面神经下颌缘支损伤者,均未作特殊治疗。术后7～24个月25例手术部位再狭窄,狭窄程度均25%且患者无TIA症状,未作特殊处理。1例随访3年时死于急性心肌梗死,其余患者均病情稳定。结论 CEA是治疗颈内动脉狭窄的一种安全、有效方法。
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| 关 键 词： | 颈动脉内膜切除术 颈动脉狭窄 短暂性脑缺血发作 脑梗死 |
Surgical treatment of carotid stenosis |
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| Liu Peng,Ye Zhidong,Fan Xueqiang,Wang Fei,Lin Fan,Cao Desheng,Yang Yuguang,Wang Fenglin. Surgical treatment of carotid stenosis[J]. Chinese journal of reparative and reconstructive surgery, 2010, 24(9): 1027-1029 |
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| Authors: | Liu Peng Ye Zhidong Fan Xueqiang Wang Fei Lin Fan Cao Desheng Yang Yuguang Wang Fenglin |
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| Affiliation: | LIU Peng,YE Zhidong,FAN Xueqiang,WANG Fei,LIN Fan,CAO Desheng,YANG Yuguang,WANG Fenglin. Department of Cardiovascular Surgery,China-Japan Friendship Hospital,Beijing,100029,P.R.China. |
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| Abstract: | Objective To summarize clinical experience of carotid endarterectomy (CEA) in treating severe carotid stenosis. Methods Between October 1998 and January 2010, 215 patients with carotid stenosis were treated with CEA. There were 140 males and 75 females with an average age of 66 years (range, 51-88 years). Transient ischemic attack (TIA) occurred in 127 cases, and 31 cases had history of cerebral infarction. All cases were diagnosed definitely by selective angiography and/or CT angiography, and stenosis degr... |
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| Keywords: | Carotid endarterectomy Carotid stenosis Transient ischemic attack Cerebral infarction |
| 本文献已被 CNKI PubMed 等数据库收录！ |
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