颈动脉内膜剥脱术的相关风险因素

Risk factors associated with carotid endarterectomy

目的总结颈动脉内膜剥脱术手术风险的相关因素。方法通过文献检索,筛选近30年来的相关文献,就颈动脉内膜剥脱手术相关危险因素进行文献综述。结果颈动脉内膜剥脱手术相关的危险因素众多,涉及到人口学特征、基础疾病、手术操作、围手术期管理等,但目前的研究中对危险因素的分析不够全面,因此仍缺乏能有效预测颈动脉狭窄外科手术风险的方法。结论充分认识颈动脉内膜剥脱手术的危险因素并建立多因素风险预测模型是进一步探究的方向。

Objective To investigate the risk factors of carotid endarterectomy.Method The literatures about carotid artery stenosis in the past 30 years were screened through literature retrieval,and the study of surgical risk factors related to carotid artery stenosis were reviewed.Results There were many risk factors associated with the carotid endarterectomy,including demographic,underlying disease,surgical factors,perioperative management,and so on.However,the risk factors analysis were not comprehensive enough in the current study,so there was still lack of effective methods to predict the surgical risk of carotid artery stenosis.Conclusion To fully understand the risk factors of carotid endarterectomy and to establish a multi-factor prediction model is the direction of further research.