| 颈动脉内膜切除术后对侧颈内动脉的变化情况 |
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| 引用本文： | 曹永彤,张黎,于炎冰,刘鹏,叶志东,王非,林凡,杨煜光,钱松屹,王凤林.颈动脉内膜切除术后对侧颈内动脉的变化情况[J].中国微侵袭神经外科杂志,2011,16(6):259-261. |
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| 作者姓名： | 曹永彤 张黎 于炎冰 刘鹏 叶志东 王非 林凡 杨煜光 钱松屹 王凤林 |
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| 作者单位： | 1. 中日友好医院心血管外科,北京,100029
2. 中日友好医院神经外科,北京,100029 |
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| 摘 要： | 目的观察颈动脉内膜切除术(CEA)后对侧颈内动脉变化情况。方法回顾性分析127例因一侧颈内动脉高度狭窄而实施CEA病人的临床资料,每隔1年行1次双侧颈动脉超声检查,定期检查双侧颈动脉狭窄情况。结果随访1~110个月,平均32.8个月,从实施CEA到对侧颈内动脉出现显著狭窄时间为50.7个月;出现对侧颈内动脉进行性狭窄达70%以上12例。这12例虽合并高血压、高脂血症或冠脉疾病,但与非进行性狭窄病人经统计学分析无显著差异(P>0.05)。结论 CEA术后对侧颈内动脉出现进行性狭窄的显著危险因子尚未发现,定期检查及密切观察预后非常重要。
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| 关 键 词： | 颈动脉狭窄 颈动脉内膜切除术 危险因素 |
The change of contralateral internal carotid artery after carotid endarterectomy |
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| Cao Yongtong,Zhang Li,Yu Yanbing,Liu Peng,Ye Zhidong,Wang Fei,Lin Fan,Yang Yuguang,Qian Songyi,Wang Fenglin.The change of contralateral internal carotid artery after carotid endarterectomy[J].Chinese Journal of Minimally Invasive Neurosurgery,2011,16(6):259-261. |
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| Authors: | Cao Yongtong Zhang Li Yu Yanbing Liu Peng Ye Zhidong Wang Fei Lin Fan Yang Yuguang Qian Songyi Wang Fenglin |
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| Institution: | Cao Yongtong1,Zhang Li2,Yu Yanbing2,Liu Peng1,Ye Zhidong1,Wang Fei1,Lin Fan1,Yang Yuguang1,Qian Songyi1,Wang Fenglin1 1.Department of Cardiovascular Surgery,2.Department of Neurosurgery,China-Japan Friendship Hospital,Beijing 100029,China |
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| Abstract: | Objective To observe the change of contralateral internal carotid artery after carotid endarterectomy(CEA).Methods The clinical data of 127 patients with high-grade stenosis in one side of internal carotid endartenectomy who underwent CEA were analyzed retrospectively.The ultrasonic testing of bilateral carotid arteries was performed on all the patients every 2 years to examine the stenosis in bilateral carotid arteries.Results All the patients were followed up for 1 to 110 months with a mean period of 32.8... |
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| Keywords: | carotid stenosis endarterectomy carotid risk factors |
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