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颈动脉内膜剥脱术的危险因素分析 被引量：9

Risk factors for perioperative complications of carotid artery endarterectomy
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摘要 目的：研究影响颈动脉内膜剥脱手术的围手术期并发症的危险因素。方法：回顾我中心2009年1月~2015年5月的188例行颈动脉内膜剥脱术患者的临床资料,统计围手术期并发症情况。并通过单因素、多因素数据分析,评估危险因素与患者围手术期主要并发症的关系。结果：围手术期主要并发症包括脑卒中6例（3.1%）,死亡0例,心梗0例。单因素和多因素分析显示,肾功能衰竭是围手术期主要并发症的独立危险因素（OR=9.19,P〈0.05）。结论：颈动脉内膜剥脱术是安全有效的,但对于合并肾功能衰竭的颈动脉狭窄患者应谨慎进行手术治疗。 Objective：To explore the risk factors of major perioperative complications in patients received carotid endarterectomy（CEA）.Methods：From January 2009 to May 2015,188 cases of carotid endarterectomy from China-Japan Friendship Hospital were analyzed.Results：The major perioperative complications were 6cases of stroke.Univariate analysis and multivariate Logistic regression analysis revealed that chronic renal failure was a significant predictors of perioperative complications（OR =9.16,P 〈0.05）.Conclusion：CEA is safe and effective.Patients with chronic renal failure patients must be carefully evaluated before operation.
作者 郑夏 樊雪强 陈洁 张建彬 叶志东 刘鹏
机构地区 中日友好医院心脏血管外科
出处 《中日友好医院学报》 2016年第4期210-212,共3页 Journal of China-Japan Friendship Hospital
关键词 颈动脉狭窄 危险因素 颈动脉内膜剥脱手术 肾功能衰竭 carotid stenosis risk factors carotid endarterectomy chronic renal failure
分类号 R651.12 [医药卫生—外科学]
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参考文献16

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二级参考文献17

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共引文献12

同被引文献78

引证文献9

二级引证文献41

中日友好医院学报
2016年 第4期

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