颈动脉内膜剥脱术治疗中重度颈动脉狭窄的临床研究

目的以颈动脉支架置入术(CAS)为对照,分析颈动脉内膜剥脱术(CEA)在治疗中重度颈动脉狭窄的临床价值。方法将100例颈动脉狭窄患者按手术方法不同分为观察组(CEA)和对照组(CAS),记录2组围术期手术相关并发症;记录手术用时、住院时间、治疗费用;随访12个月,记录2组包括死亡在内的不良反应发生率及改良Rankin评分情况。结果观察组与对照组在围术期手术相关并发症、住院时间、术后6个月不良反应发生率及改良Rankin评分比较均无明显差异(P均0.05)。但观察组治疗经费低于对照组(P0.05)。结论颈动脉支架置入术治疗中重度颈动脉狭窄效果良好,术后近期和远期疗效及治疗安全性与颈动脉内膜剥脱术相当,但颈动脉内膜剥离术费用成本较低,并发症少。

The clinical value of carotid endarterectomy in the treatment of moderate and severe carotid stenosis

Objective To analyze the clinical value of carotid endarterectomy (CEA) in the treatment of moderate and severe carotid artery stenosis with carotid artery stenting(CAS) as control.Methods According to different methods 100 cases of carotid artery stenosis patients were divided into observation group (CEA) and control groups (CAS),and recorded perioperative complications ,the operation time,hospitalization days and treatment costs.And followed up 12 months two groups the incidence of adverse events,including deaths,and modified Rankin score.Results The above indexes were not significantly different from those of the control group (P>0.05).But treatment cost show lower in observation group (P<0.05).Conclusion In the treatment of severe carotid artery stenosis CAS has a good effect,short-term and long-term curative effect and safety as well as CEA,but CEA has less complications,low cost.