置入疗法治疗颈动脉狭窄的临床研究

目的研究置入疗法在治疗颈动脉狭窄的临床疗效及应用价值。方法将我院2009年3月～2010年3月治疗的84例颈动脉狭窄患者随机分为对照组和观察组,各42例,对照组使用临床应用率较高的颈动脉内膜切除术进行治疗,观察组使用置入疗法治疗。将两组患者的疗效、并发症、残余狭窄率以及术后复发率等临床数据进行比较,并进行统计学分析。结果对照组手术总有效率为97.6%,残余狭窄率为32.3%,观察组手术总有效率为100.0%,残余狭窄率为27.8%,其临床观察指标观察组均优于对照组,且差异均有统计学意义（均P〈0.05）。结论置入疗法治疗颈动脉狭窄较颈动脉内膜切除术具有明显的优势,有重要的临床应用价值。

Clinical research on implant therapy treatment for carotid artery stenosis

Objective To study clinical effectiveness and application value of implant therapy treatment for carotid artery stenosis.Methods 84 cases of patients with carotid artery stenosis from March 2009 to March 2010 in our hospital were randomly divided into control group and observation group,with each group of 42 cases,the control group was used the carotid endarterectomy,and the observation group was used the implant therapy.The effective rate of operation,complication,residual stricture rate,efficacy and postoperative clinical data comparison recurrence rate,etc were compared and analyzed in the two groups.Results The effective rate of the operation in the control group was 97.6%,residual stricture rate was 32.3%,the effective rate of the operation in the observation group was 100.0%,residual stricture rate was 27.8%;the other clinical data of observation group were better than those of control group,there were significant differences(all P<0.05).Conclusion Implant therapy treatment for carotid artery stenosis has obvious advantages than carotid endarterectomy,and has important value in clinical application.