内膜剥脱术和血管成形术治疗颈动脉狭窄及疗效分析

Surgical treatment of carotid stenosis:a report of 28 cases

目的研究颈动脉内膜剥脱术和成形术对颈动脉狭窄患者的治疗结果。方法2003年12月至2006年6月,28例颈动脉狭窄患者行动脉内膜剥脱术及血管成形术。术前术后应用彩色多普勒血流显像和经颅多普勒超声测定患者颈内动脉管腔内径、血流速度、血流量及大脑中动脉血流速度。结果所有患者术后颈内动脉管腔内径达正常数值,血流动力学恢复正常,未出现严重并发症,未见动脉瘤形成。结论颈动脉内膜剥脱术是治疗颈动脉狭窄的有效的方法之一,应用血管成形术可提高远期疗效。

Objective To assess the effectiveness of carotid endarterectomy （CEA） in the surgical treatment of stenosis of carotid artery. Methods From December 2003 to June 2006, 28 patients of carotid arteriosclerotic stenosis received CEA and vascular repair or plasty （VP）. Before and after operation, the hemodynamic parameters including inner diameter of internal carotid canal, blood flow rate, blood flow and blood flow rate of middle cerebral artery of 28 patients were measured by color Doppler flow imaging （CDFI） and transcranial Doppler （TCD）. Results The inner diameter of internal carotid canal in all patients recovered to normal range. Blood flow rate and blood flow after operation were improved. No postoperative complications occurred, and no aneurysms formed. Conclusion CEA is one of the effective ways to manage carotid stenosis and angioplasty can improve the long-term efficiency.