期刊文献+

颈动脉内膜剥脱术在防治缺血性脑卒中的临床分析 被引量:6

Clinical Analysis of carotid endarterectomy in the treatment and prevention of ischemic stroke
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摘要 目的对颈动脉内膜剥脱术预防和治疗缺血性脑卒中的临床疗效进行评价。方法对30例经检查确诊为脑卒中患者,行颈动脉内膜剥脱术,剥离颈动脉斑块。结果 30例患者术后恢复良好,脑缺血症状有明显改善,围手术期内未出现死亡及脑卒中事件。随访6~24个月未出现脑卒中,未出现严重并发症,且病人的生活质量有明显改善。结论颈动脉内膜剥脱术对预防和治疗缺血性脑卒中是安全有效的。 Objective To evaluate the clinical efficacy of the carotid endarterectomy in the treatment and prevention of the ischemic stroke. Methods 30 patients which were diagnosed as ischemic stroke by clinical manifestations were given carotid endarterectomy to eliminate the plaques in the carotid artery. Results All the patients recovered well after the surgery and the symptoms of cerebral ischemia had been obviously improved. During the perioperative period there were no death or stroke events. In the follow-up period there were no stroke events and no serious complications. The quality of patients' life has been improved obviously. Conclusion Carotid endarterectomy is a safe and effective method to prevent and treat ischemic stroke.
出处 《局解手术学杂志》 2012年第5期511-512,共2页 Journal of Regional Anatomy and Operative Surgery
基金 新疆生产建设兵团农业与社会发展科技基金资助项目(2010GG39)
关键词 颈动脉内膜剥脱术 颈动脉 脑卒中 carotid endarterectomy carotid artery ischemic stroke
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参考文献8

  • 1Long SM, Kern JA, Fiser SM, et al. Carotid Arteriography Impacts Carotid Stenosis Management [ J ]. Vasc Surg,2001,35 (4) :251 - 257.
  • 2Bley SJ, Kaleya RN, Brandt LJ. North American Symptomatic Carotid. Endare-rectomy Trial Collalorators: beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators [ J ]. N Engl J Med,1991,325(7) :445 -453.
  • 3董锡臣,褚庆福,任洪智,熊有莉,白玉赫,卢素芳,张志永,薛杨.颈动脉内膜剥脱术对脑血液流变学及红细胞变形能力的影响[J].中国急救医学,2002,22(12):712-713. 被引量:3
  • 4李军,沈志梅,朱艳,杨扬,赵海宁,王晓铃.高同型半胱氨酸血症与急性脑血管病及颈动脉狭窄的关系[J].实用临床医药杂志,2006,10(6):38-40. 被引量:13
  • 5Eliasziw M, Streifler JY, Fox AJ, et al. Significance of plaque ulceration in symptomatic patients with high-grade carotid endarterectomy trial [J]. Stroke, 1994,25 (2) :304 - 308.
  • 6European Carotid Surgery Trialists' Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70 -99% ) or with mild (0 -29% ) carotid stenosis[J]. Lancet, 1991,337 (8752) : 1235 - 1243.
  • 7Mayberg MR,Winn HR. Endarterectomy for asymptomatic carotid artery stenosis. Resolving the controversy [ J ]. JAMA, 1995,273 ( 18 ) : 1459 - 1461.
  • 8Lewis SC,Warlow CP, Bodenham AR, et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA) : a muhicentre, random- ised controlled trial[J]. Lancet,2008,372(9656) :2132 -2142.

二级参考文献17

  • 1李娜,林小慧,董玉娟,张进贵,刘俊艳,王建茹.脑动脉狭窄与同型半胱氨酸和MTHFR基因多态性的关系[J].中风与神经疾病杂志,2005,22(3):209-212. 被引量:12
  • 2钱自奋.红细胞变形性的生理及临床意义[J].中国中西医结合杂志,1995,15(4):244-245. 被引量:35
  • 3苏化庆,杨期明,杨期东.高同型半胱氨酸血症与脑血管疾病发病机制研究进展[J].脑与神经疾病杂志,2005,13(5):397-399. 被引量:27
  • 4李保华,毛利忠,王克义,雷志锴,牛国忠.脑梗死与高同型半胱氨酸血症的相关性研究[J].中国实用神经疾病杂志,2006,9(1):8-10. 被引量:97
  • 5Li Z,Sun L,Zhang H,et al.Elevated plasma homocysteine was associated with hemorrhagic and ischemic stroke,but methylenetetrahydrofolate reductase gene C677T polymorphism was a risk factor for thrombotic stroke:a multicenter case control study in China[J].Stroke,2003,34(9):2085.
  • 6Auperin A,Berr C,Bonithon-Kopp C,et al.Ultrasonographic assessment of carotid wall characteristics and cognitive functions in a community sample of 59-to 71-Year-Olds[J].Stroke,1996,27(8):1290.
  • 7McCully K S.Vascular pathology of homocysteinemia:implications for the pathogenesis of arteriosclerosis[J].Am J Pathol,1969,56(1):111.
  • 8Toyoda K,Uwatoko T,Shimada T,et al.Recurrent small-artery disease in hyperhomocysteinemia:widowers'stroke syndrome[J].Intern Med,2004,43(9):869.
  • 9Masser P A,Taylor L M Jr,Porter J M.Importance of elevated plasma homocysteine levels as a risk factor for atherosclerosis[J].Ann Thorac Surg,1994,58(4):1240.
  • 10Wald D S,Law M,Morris J K.Homocysteine and cardiovascular disease:evidence on causality from a meta-analysis[J].B M J,2002,325(7374):1202.

共引文献12

同被引文献68

  • 1王飞.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[J].外科研究与新技术,2012,1(1):23-26. 被引量:6
  • 2武晓玲,罗春霞,迟路湘.兔颈动脉粥样硬化剪切力改变对其斑块及内膜中膜病理变化影响[J].第三军医大学学报,2006,28(20):2057-2061. 被引量:9
  • 3张勤奕.颈动脉内膜剥脱术与卒中预防[Z].第八届中国国际血管医学大会(CCVM2011),北京,2011.
  • 4Chan AW. Current perspectives on carotid revascularization among pa- tients who need cardiac surgery[J]. The Journal of invasive cardiology, 2010,22(8) : 356-390.
  • 5Shakhnovich I, Kiser D, Satiani B. Importance of validation of accuracy of duplex ultrasonography in identifying moderate and severe carotid artery stenosis[J]. Vascular and endovascular surgery, 2010,44(6) :483- 488.
  • 6N. Shobha MA, Almekhlafi A, Pandya PL,et al. Carotid Stenting In Asymptoraatic Carotid Stenosis: The Calgary Experience [J]. The Cana- dian Journal of Neurological Sciences, 2010,37(5) : 568-573.
  • 7Rerkasem K, Rothwell PM. Carotid endarterectomy for symptomatic ca- rotid stenosis [ J ]. Cochrane Database Syst Rev, 2011, 13 ( 4 ) : CD001081.
  • 8Balestrini S, Lupidi F, Balucani C , et al. One-year progression of moder- ate asymptomatic carotid stenosis predicts the risk of vascular events [ J ]. Stroke,2013,44 (3) :792 - 794.
  • 9Reinhard M, Muller T, Guschlbauer B, et al. Dynamic cerebral autoreg- ulation and collateral flow patterns in patients with severe carotid steno- sis or occlusion [ J ]. Ultrasound Med Biol,2003,29 ( 8 ) : 1105 - 1113.
  • 10Cai JM, Hatsukami TS, Ferguson MS, et al. Classification of human carot- id atherosclerotic lesions with in vivo muhicontrast magnetic resonance imaging[ J ]. Circulation,2002,106 ( 11 ) : 1368 - 1373.

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