颈动脉内膜剥除术及支架成形术治疗颈动脉狭窄的相关研究

Carotid endarterectomy and endovascular stenting in the treatment of carotid artery stenosis

目的:探讨颈动脉内膜切除术及颈动脉支架成形术在治疗颈动脉狭窄中的应用,并对此两种术式的适应证进行讨论。方法:根据狭窄的部位和程度对121例颅外颈动脉狭窄病人采取不同的手术方法;其中104例为颈动脉内膜切除术,17例为颈动脉支架成形术。分析其治疗结果及并发症发生的原因。结果:手术均获成功,但颈动脉内膜切除术术后严重并发症的发生率较支架成形术为低。结论:颈动脉内膜切除术仍然是治疗颅外颈动脉狭窄的主要方法,而颈动脉支架成形术则可应用于颈动脉内膜切除术无法到达的狭窄部位。

Objective To evaluate the application of endarterectomy and endovascular stenting in the treatment of carotid artery stenosis. Methods According to the level and degree of the stenosis, carotid endarterectomy was used in 104 cases and endovascular stenting in 17 cases of carotid artery stenosis. The effect of treatment and the causes of complications were analysed. Results All the patients had successful results. The incidence of severe postoperative complications was low, especially in the group with carotid endarterectomy. Conclusions Carotid endarterectomy still remains to be the main surgical method in the treatment of carotid stenosis. Endovascular stenting could be applied in patients with carotid stenosis that can not be reached by conventional operation.