颈动脉内膜剥脱术治疗颈动脉狭窄临床分析

Analysis of carotid endarterectomy about carotid arterial stenosis

目的对颈动脉内膜剥脱术中应用转流管和人工血管补片预防和治疗缺血性脑卒中的临床疗效进行评价,并提出术中注意的细节技巧。方法 2012年8月~2014年4月18例有手术指征的脑卒中或者颈内动脉重度狭窄患者,对所有患者行颈动脉内膜剥脱术（carotid endarterectomy,CEA）,术中均采用转流管维持脑部供血,缝合均采用人工血管补片扩大管腔。结果随访时间3~23个月,18例患者术后均恢复良好,未出现死亡及脑卒中事件。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 efficacy and find out the main surgical technique of employing shunting and patch in carotid endarterectomy. Methods From Aug 2012 to Apr 2014,18 patients of ischemic stroke or severe stenosis received CEA. Employing shunting and patch were used for all patients. Results Follow-up 3-23 months ,all the patients recovered well after the surgery. There were no death, no serious complications and stroke events. Condusion Carotid endarterectomy is a safe and effective method to prevent and treat ischemic stroke.