| 颈动脉内膜剥脱术治疗颈动脉狭窄的临床研究 |
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| 引用本文： | 万亮,华续明,李轶,王旭辉,李心远,李世亭. 颈动脉内膜剥脱术治疗颈动脉狭窄的临床研究[J]. 医学临床研究, 2010, 27(11): 1999-2001 |
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| 作者姓名： | 万亮 华续明 李轶 王旭辉 李心远 李世亭 |
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| 作者单位： | 上海交通大学医学院附属新华医院神经外科,上海,200092 |
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| 基金项目： | 上海市市级医院适宜技术联合开发推广应用项目 |
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| 摘 要： | [目的]探讨颈动脉内膜剥脱术治疗颈动脉狭窄的指证与手术技巧.[方法]回顾分析在2007年6月至2009年5月期间20例颈动脉狭窄患者行颈动脉内膜剥脱术并随访的相关资料.[结果]手术均成功,颈动脉内膜剥脱术1例术后第2天出现脑梗死,3例出现局部淤血,其余未出现明显神经功能障碍.术后平均随访15个月,未有一过性脑卒中或脑梗死发生.[结论]颈动脉内膜剥脱术治疗颈动脉狭窄是安全可靠的,但需要严格掌握手术指证并由技术娴熟的专科医师操作,手术的疗效才能得到保证.
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| 关 键 词： | 颈动脉狭窄／外科学 颈动脉／外科学 |
Clinical Research on Carotid Endarterectomy for the Treatment of Carotid Artery Stenosis |
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| Affiliation: | WAN Liang , HUA Xu-ming , LI Yi ,et al ( Department of Neurosurgery , Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200092, China ) |
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| Abstract: | [Objective]To explore the indications and the operation technique of carotid endarterectomy （CEA） for the treatment of carotid artery stenosis. [Methods]The clinical data of 20 patients with carotid artery stenosis undergoing CEA and followed up from Jun. 2007 to May 2009 were analyzed retrospectively. [Results]All patients were operated successfully. The cerebral infarction occurred in one case at the second day after operation. Local congestion was found in 3 cases, The other patients had no obvious nerve function disorder. The average of follow-up was 15 months and no one had TIA or infarction. [Conclusion] Carotid endarterectomy for the treatment of CEA is safe and reliable. Mastering the indications strictly and operating by adept specialists are the guarantee of the effect of CEA. |
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| Keywords: | carotid stenosis/SU carotid arteries/SU |
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