颈动脉粥样硬化性狭窄治疗研究进展

目前，我国脑缺血性卒中的致死率和致残率位居 所有疾病首位1] 。研究2] 发现，在缺血性脑卒中和短暂 性 脑 缺 血 发 作（transient ischemic attack，TIA）的 患 者中有 20％的患者存在颈动脉狭窄。颈动脉狭窄最 常见的病因是颈动脉粥样硬化3] ，且颈动脉粥样硬化 性狭窄的发病率随着年龄增大而增加，且男性高于女 性4] 。在以大动脉粥样硬化为病因的缺血性脑血管病 中，颈内动脉粥样硬化性狭窄所占比例最大5] ，大动脉 粥样硬化导致的TIA患者在早期复发缺血性卒中的风 险会增加 1倍6] ，且TIA或轻型缺血性卒中伴有动脉粥 样硬化的患者，在未来 5年内发生大血管事件的风险 远高于不伴有动脉粥样硬化患者7] 。

Research progress in treatment of carotid atherosclerotic stenosis

At present, the mortality and disability rates of ischemic stroke in China are among the highest First place for all diseases 1] . Research 2] Discovered that in ischemic stroke and transient Patients with transient ischemic attack (TIA) 20% of patients have carotid artery stenosis. Carotid artery stenosis is the most common The common cause is carotid atherosclerosis 3] , and carotid atherosclerosis The incidence rate of sexual stenosis increases with age, and is higher in men than in women Sex 4] . Ischemic cerebrovascular disease caused by atherosclerosis Among them, carotid atherosclerotic stenosis accounts for the largest proportion 5] Great arteries Risk of early recurrence of ischemic stroke in patients with TIA caused by atherosclerosis Insurance will double 6] TIA or mild ischemic stroke accompanied by arterial Congee The risk of major vascular events occurring in patients with pseudosclerosis within the next 5 years Far higher than patients without atherosclerosis 7] .