颈动脉狭窄血管内支架治疗的临床应用

The clinical application of the stent treatment of carotid stenosis

目的观察颈动脉内膜剥脱术以及血管内支架成形术治疗颈动脉狭窄的临床效果。方法取2011年10月～2014年3月我院收治的74例颈动脉狭窄患者为本次研究对象,随机分为对照组与实验组各37例,对照组行颈动脉内膜剥脱术治疗,实验组则接受血管内支架成形术治疗,观察两组血流参数、神经功能缺损评分,并作统计学对比。结果与对照组相比,实验组血流参数指标改善更优,神经功能缺损评分更低,组间差异有统计学意义（P〈0.05）。结论对于颈动脉狭窄患者而言,血管内支架成形术治疗效果更优于传统颈动脉内膜剥脱术,可有效促进患者神经功能恢复,值得临床推广和使用。

Objective To observe the carotid endarterectomy and endovascular stenting of carotid stenosis clinical results. Methods 74 cases of patients with carotid artery stenosis in our hospital from October 2011 to March 2014 were randomly divided into two groups, 37 cases of each group. The control group received the treatment of carotid endarterectomy, the experimental group received endovascular stenting. Blood parameters and neurological deficits scores of the two groups were observed and for statistical comparison. Results Compared with the control group, the blood flow parameters indicators of the experimental group changed better, neurological deficit scores were lower, there was statistical significance（P〈0.05）. Conclusion For patients with carotid artery stenosis, endovascular stenting is more effective than the traditional carotid endarterectomy, which can effectively promote the recovery of neurological function in patients, worthy of promotion and use.