颈动脉内膜剥脱术治疗颈动脉狭窄的临床疗效分析

Clinical efficacy of carotid endarterectomy for carotid artery stenosis

目的探讨颈动脉内膜剥脱术治疗颈动脉狭窄的临床疗效。方法回顾性分析宁夏医科大学总医院2012年2月—2017年12月行颈动脉内膜剥脱术的54例患者的临床资料。包括基本资料、手术前后影像学检查、手术效果、并发症及随访和预后。结果本组患者中,51例患者术后症状明显缓解或消失,其中2例患者术后出现术区渗血;1例患者死于肺部感染,2例患者因并发症放弃治疗自动出院。术后随访1~36个月,6例患者手术部位出现轻度再狭窄,经药物治疗效果良好。结论 颈动脉内膜剥脱术是一种治疗颈动脉狭窄安全、有效的手术术式。

Objective To explore the clinical effect of carotid endarterectomy(CEA) on carotid stenosis. Methods The clinical data of 54 patients underwent CEA in Ningxia Medical University General Hospital from February 2012 to December 2017 were analyzed retrospectively. Results The postoperative symptoms were relieved or disappeared in 51 patients, including 2 with postoperative regional bleeding,1 died of pulmonary infection,2 gave up treatment for complications. The follow-up from 1 to 36 months showed 6 patients had mild restenosis at the surgical site, and the conservative treatment was effective. Conclusion CEA is a safe and effective operation for the treatment of carotid stenosis.