颈动脉内膜剥脱术治疗症状性颈动脉狭窄的几个重要问题

Some key points on treatment of symptomatic carotid artery stenosis by carotid endarterectomy

脑卒中是当今造成人类死亡的第三大原因,颈动脉狭窄是导致缺血性卒中事件发生的最常见原因。颈动脉内膜剥脱术是通过外科方法将堵塞在颈动脉内的斑块取出,使血流通过得以通畅,从而预防中风。20世纪90年代已有多个随机对照试验证实颈动脉内膜剥脱术相比于内科药物治疗对于预防卒中具有明显优势。本文就颈动脉内膜剥脱术的几个重要问题进行阐述,有利于临床医生更好地了解颈动脉内膜剥脱术与缺血性脑卒中治疗的关系,以有利于在中国不断推广这项技术。

Stroke is the third leading cause of death recently.Carotid artery stenosis is the leading cause of ischemic stroke events.The carotid endarterectomy(CEA)is a surgical method which removes the plaque in the carotid artery through surgical method,so that the blood flow can be restored and stroke prevented.In the 1990s,there were many randomized controlled trials that proved carotid endarterectomy,compared with medical therapy,had many advantages in the prevention of stroke.This article describes some advances in some key points on treatment of symptomatic carotid artery stenosis by CEA,which will help more clinicians to have a better understanding of the relationship between CEA and ischemic stroke,thus encouraging them to continue to popularize this technology in China.