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动脉内膜切除治疗颈动脉狭窄
引用本文:周定标,程东源,许百男. 动脉内膜切除治疗颈动脉狭窄[J]. 中华医学杂志, 1999, 79(11): 816-818
作者姓名:周定标  程东源  许百男
作者单位:中国人民解放军总医院种经外科!北京,100853
基金项目:“九五”国家重点科技攻关资助!96-906-02-25,“九五”军队医药卫生科研基金!96Z058
摘    要:目的 探讨脉内膜切除的手术指征、麻醉和手术方法。方法 20例病人22例颈动脉狭窄,其中21例在全麻下手术,1侧采用局麻。20例术中颈动脉阻断时间27 ̄52分钟,2侧术中采用分流。15侧手术在脑电图监测下进行。结果 17例病人18侧术后顺利;另3例4侧手术,其中3侧椁后分别出现暂时性肌力减退和下部面瘫。19例病人平均随访3年2个月,9例暂时性脑缺血病人中,8例停止发作,1例发作减少,9例脑梗死病人,

关 键 词:治疗 颈动脉狭窄 动脉内膜切除术 脑缺血

Endarterectomy for carotid stenosis
ZHOU Dingbiao, CHEN Dongyuan, XU Bainan,et al.. Endarterectomy for carotid stenosis[J]. Zhonghua yi xue za zhi, 1999, 79(11): 816-818
Authors:ZHOU Dingbiao   CHEN Dongyuan   XU Bainan  et al.
Affiliation:Department of Neurosurgery, Chinese PLA General Hospital, Beijing 100853.
Abstract:Objective To discuss the indications, anesthesia and surgical techniques of carotid endarterectomy (CEA). Methods Twenty-two sides of carotid stenosis were revealed in 20 patients. CEA was performed under general anesthesia in 21 sides and local anesthesia in one. The time of carotid occlusion ranged from 27 to 52 minutes (averag 35 .5 min) in 20 operations, and intraoperative shunt was used in the other two.Fifteen operations were monitored with EEG. Results The postoperative course was uneventful in 17 patients after 18 operations, while transient muscle strength decrease on contralateral side and ipsilateral lower facial paresis occurred after three operations in the other three patients. Nineteen patients were followed-up for 38 months on the average. Among nine patients with TLA, ischemic attacks ceased in eight and decreased in one. Improvement was achieved in six patients with cerebral infarction. One patient without symptoms of carotid ischemia was still normal after operation. Conclusion Carotid endarterectomy is a safe and effective way for treating carotid stenosis.
Keywords:Carotid stenosis  Endarterectomy   Carotid  Cerebral ischemia  transient
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