| 颈动脉内膜剥脱术和支架成形术治疗颈动脉狭窄的临床研究 |
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| 引用本文： | 刘祺,王业忠,赵冬,姬云翔,许晖,雷霆. 颈动脉内膜剥脱术和支架成形术治疗颈动脉狭窄的临床研究[J]. 中华老年心脑血管病杂志, 2013, 15(3) |
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| 作者姓名： | 刘祺 王业忠 赵冬 姬云翔 许晖 雷霆 |
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| 作者单位： | 1. 华中科技大学同济医学院附属同济医院神经外科,武汉,430030
2. 新疆石河子大学医学院第一附属医院神经外科 |
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| 基金项目： | 新疆生产建设兵团科技计划 |
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| 摘 要： | 目的探讨颈动脉内膜剥脱术(CEA)和颈动脉支架成形术(CAS)治疗颈动脉狭窄的临床价值。方法选择颈动脉狭窄患者43例,分为CEA组20例和CAS组23例,分析比较CEA和CAS 2种治疗方法的疗效。结果 CEA组成功率为95%,术后随访2年,再狭窄率为10%;CAS组成功率为100%,术后随访2年,发生再狭窄率为13%,2组的手术成功率和术后再狭窄率比较,差异无统计学意义(P>0.05)。结论 CEA和CAS是治疗颈动脉狭窄的有效方法,两者在安全性和有效性方面相同。
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| 关 键 词： | 颈动脉狭窄 颈动脉内膜切除术 支架 血管造影术,数字减影 治疗,临床研究性 |
Carotid endarterectomy and carotid artery stenting for carotid artery stenosis |
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| Abstract: | Objective To study the clinical value of carotid endarterectomy and carotid artery stenting for carotid artery stenosis.Methods Forty-three patients with carotid artery stenosis were divided into carotid endarterectomy group(n=20) and carotid artery stenting group(n=23).Curative effects of carotid endarterectomy and carotid artery stenting on carotid artery stenosis were analyzed and compared.Results The success rate of carotid endarterectomy was 95% for carotid artery stenosis.The patients were followed up for 2 years after operation during which the restenosis rate was 10%.The success rate of carotid artery stenting was 100% for carotid artery stenosis with a restenosis rate of 13% after operation.No significant difference was found in success rate of carotid endarterectomy and carotid artery stenting and in restenosis rate after carotid endarterectomy and carotid artery stenting between the two group(P>0.05).Conclusion carotid endarterectomy and carotid artery stenting are the effective procedures for carotid artery stenosis with a similar safety and efficiency. |
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| Keywords: | carotid stenosis endarterectomy,carotid stents angiography,digital subtraction therapies,investigational |
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