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颈动脉狭窄的外科治疗
引用本文:赵志青,景在平,陆清声,包俊敏,冯翔,赵珺. 颈动脉狭窄的外科治疗[J]. 中国现代普通外科进展, 2004, 7(3): 170-171
作者姓名:赵志青  景在平  陆清声  包俊敏  冯翔  赵珺
作者单位:第二军医大学长海医院血管外科,上海,200433
摘    要:目的:探讨颈动脉狭窄的外科治疗方法.方法:根据狭窄的部位和程度对82例颅外颈动脉狭窄患者采取不同的手术方法,其中颈动脉内膜切除术65例,颈动脉支架成形术10例.结果:手术均获成功,但颈动脉内膜切除术的术后并发症发生率最低.结论:颈动脉内膜切除术仍然是治疗颅外颈动脉狭窄的主要方法,而颈动脉支架成形术则可以解决颈动脉内膜切除术无法到达部位的狭窄.

关 键 词:颈动脉狭窄·动脉内膜切除术·腔内支架成形术
文章编号:1009-9905(2004)03-0170-02
修稿时间:2003-08-26

Surgical treatment of carotid artery stenosis
ZHAO Zhi-qing,JING Zai-ping,LU Qing-sheng,BAO Jun-min,FENG Xiang,ZHAO Jun. Surgical treatment of carotid artery stenosis[J]. Chinese Journal of Current Advances in General Surgery, 2004, 7(3): 170-171
Authors:ZHAO Zhi-qing  JING Zai-ping  LU Qing-sheng  BAO Jun-min  FENG Xiang  ZHAO Jun
Affiliation:ZHAO Zhi-qing,JING Zai-ping,LU Qing-sheng,BAO Jun-min,FENG Xiang,ZHAO Jun Department of Vascular Surgery,Changhai Hospital,Second Military Medical University
Abstract:Objective:To evaluate the surgical outcome of carotid artery stenosis.Methods:According to the level and degree of the stenosis,different procedures were performed on 82 patients who suffered from the extracranial carotid stenosis,including 65 carotid endarterectomy and 10 endovascular stenting.Results:All the procedures were successful.The incidence of postoperative complications were low,especially in the group of carotid endarterectomy.Conclusion:Carotid endarterectomy is still the main surgical method in the treatment of carotid stenosis.Endovascular stenting could be applicated in the patients with carotid stenosis that can not be treated by conventional operation.
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