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颈动脉内膜剥脱术治疗颈动脉狭窄的临床研究 被引量:6

Study on Carotid Endarterectomy in Treatment of Carotid Stenosis
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摘要 目的探讨颈动脉内膜剥脱术治疗颈动脉狭窄的手术指征、手术方法及围手术期的处理。方法回顾性总结2006年1月-2008年12月期间128例颈动脉硬化狭窄而行颈动脉内膜剥脱术患者的临床资料。结果大部分患者症状改善,术后用Doppler超声检查,证实颈总动脉和颈内动脉血流量明显增加。围手术期死亡0例。结论颈动脉内膜剥脱术是治疗颅外颈动脉狭窄、预防脑梗死、改善脑供血的安全有效的方法。 Objective To study the indications and process and perioperative managements of carotid endarterectomy (CEA) in treatment of stenosis and occlusion in carotid. Methods Make a retrospective study of 128 patients with carotid stenosis underwent CEA from January 2006 to December 2008. Results Clinical symptom significantly alleviated in most cases, and the cerebral blood streaming of them got obvious increase demonstrated by Duplex scanning postoperetively. The perioperative death was zero. Conclusion Carotid endarterectomy is an effective treatment for severe stenosis of internal carotid artery.
出处 《医药论坛杂志》 2009年第11期52-53,56,共3页 Journal of Medical Forum
关键词 颈动脉内膜切除术 颈动脉狭窄 临床研究 Carotid endarterectomy Carotid stenosis Clinical research
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  • 1Long SM, Kern JA, Fiser SM, et al. Carotid arteriography impacts carotid stenosis manegement[J]. Vascular Surgery,2001, 35:251-257.
  • 2Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid in a patient with intermittent attacks of hemiplegia[ J ]. Lancet, 1954, 2: 993-995.
  • 3North American Symptomatic Carotid Endarterectomy Trail Collanorators. Benefieal effect of carotid endarterectomy in symp tomatic patiente with high - grade carotid stenosis [J]. N Engl J Med, 1991, 325:455-463.
  • 4Aouad MT. Perioperative Management of the Patient Undergoing Vascular Surgery[ J ]. Middle East J Anesthesiol, 2004, 17(4): 665-689.

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