摘要
目的分析颈动脉蹼手术治疗的临床效果,为临床治疗颈动脉蹼提供参考。方法对2016年5月至2019年1月在郑州人民医院手术治疗的8例颈动脉蹼患者的临床资料进行回顾性分析,其中内膜剥脱术治疗3例,支架成形术治疗5例。结果8例患者均手术成功。内膜剥脱术治疗术后出现头痛症状1例;支架成形术治疗术中出现心动过缓1例,术后出现低血压1例。术后随访6~30个月,出现再狭窄1例,狭窄率小于30%;无靶血管重建、脑卒中或死亡病例。结论内膜剥脱术和支架成形术治疗颈动脉蹼均安全可行,如何选择手术方式应根据患者病变解剖特点、全身情况等决定。
Objective To provide reference for clinical treatment of carotid web by analyzing the clinical effects of different surgical procedures.Methods A retrospective analysis was carried out in 8 patients who were treated for carotid web in Zhengzhou People’s Hospital from May 2016 to January 2019,including 3 patients treated with carotid endarterectomy and 5 patients treated with stent-assisted angioplasty.Results All patients successfully underwent operation.Among patients treated with carotid endarterectomy,1 had headache after operation.Of patients treated with stent-assisted angioplasty,1 had bradycardia during operation,and 1 had hypotension after operation.During the follow-up of 6-30 months,restenosis occurred in 1 patient.The stenosis rate was less than 30%.No target vessel revascularization,stroke or death occurred in all patients.Conclusion Both carotid endarterectomy and stent-assisted angioplasty are safe and feasible for treating carotid web.The choice of surgical methods should be based on the anatomical characteristics of lesions and the general condition of patients.
作者
张雷
秦丹丹
朱盛兴
ZHANG Lei;QIN Dan-dan;ZHU Sheng-xing(Department of Vascular Surgery of Zhengzhou People’s Hospital;Department of Radiology of Henan Provincial People’s Hospital,Zhengzhou 450000,China)
出处
《实用临床医学(江西)》
CAS
2020年第3期23-24,27,共3页
Practical Clinical Medicine
关键词
颈动脉蹼
内膜剥脱术
支架成形术
临床效果
carotid web
endarterectomy
stent-assisted angioplasty
clinical effect