颈动脉转流管在颅外段血管手术中的应用

Application of carotid shunt in extra-cranial vascular surgery: report of 23 cases

目的探讨颈动脉转流管在颅外段血管手术中的保护作用。方法男性 16例 ,女性 7例 ;年龄 11～ 76岁 ,平均 5 5岁。包括颈动脉硬化性狭窄 12例 (双侧 3例 ) ,行颈动脉硬化内膜剥脱术 ;颈动脉体瘤 4例 (双侧 1例 ) ,行颈动脉体瘤切除术 ;颈动脉假性动脉瘤 4例 (双侧 1例 ) ,行假性动脉瘤切除、颈动脉破口修补术 ;颈内动脉瘤 2例 ,行瘤体大部切除缩缝成形术 ;颈动脉迂曲症 1例 ,行颈动脉多余段切除、端端吻合术。以上手术均在颈动脉转流管保护下完成。结果本组无手术死亡 ,未发生与脑缺血有关的并发症 ,仅 1例颈动脉体瘤患者并发Horner氏征。

ObjectiveTo evaluate the use of carotid shunting for the protection of cerebral function during extra-cranial carotid surgery. MethodsTwenty-three patients with carotid artery related disease underwent surgery under carotid shunting, with age ranging from 11 to 76 years (mean of 55). Carotid endarterectomy was performed for carotid atherosclerotic stenosis in 12 cases, excision for carotid body tumor (CBT) in 4 cases, resection of carotid pseudoaneurysm in 4 cases, partial excision of internal carotid aneurysm in 2 cases, and segmental resection of carotid artery and end to end anastomosis in one case. ResultsThere was no mortality nor complications related to cerebral ischemia. Horner signs developed in one case of CBT. ConclusionThe protecting effect of carotid shunting is excellent for surgical procedures involving carotid artery.