摘要
目的探讨颈动脉内膜剥脱术治疗症状性颈动脉次全闭塞的疗效。方法回顾性分析中日友好医院2014年1月至2020年1月手术治疗的122例症状性颈动脉次全闭塞患者,分析其临床特点、影像学检查、治疗及预后情况,根据颈内动脉远端是否完全塌陷,分为完全塌陷组和非完全塌陷组,对两组的病例特点及治疗效果进行比较。结果远端塌陷组54例,非远端塌陷组68例,围手术期主要终点事件发生率两组间比较差异无统计学意义(1.85%比4.41%,P=0.629),1年主要终点事件发生率两组间比较差异无统计学意义(7.41%比4.41%,P=0.698)。非远端塌陷组1例患者在术后8个月发生再狭窄。结论对于症状性颈动脉次全闭塞患者,不论是否存在远端塌陷,内膜剥脱都可以取得较好的疗效,应用转流管可以预防术中低灌注及术后高灌注。
Objective To investigate the effect of carotid endarterectomy(CEA)in the treatment of symptomatic carotid artery near-occlusion(CNO).Methods Clinical symptoms,imaging examination,treatment and prognosis of 122 symptomatic CNO patients admitted to China-Japan Friendship Hospital from Jan 2014 to Jan 2020 undergoing CEA were retrospectively analyzed.Patients were divided into two groups based on the collapse condition,full collapse group(54 cases)and non-full collapse group(68 cases).Results The difference was insignificant between the two groups at the 30-day and 12-month occurrence rate of primary endpoints(1.85%vs.4.41%,P=0.629;7.41%vs.4.41%,P=0.698).Postoperative re-stenosis occurred in one case in the non-full collapse group 8 months after CEA.Conclusions CEA can achieve good curative effect for patients with CNO with recurrent symptoms,irrelevant to the existence of distal full collapse.The shunt can prevent intraoperative hypoperfusion and postoperative hyperperfusion.
作者
张建彬
陈洁
贺斌
樊雪强
刘鹏
叶志东
Zhang Jianbin;Chen Jie;He Bin;Fan Xueqiang;Liu Peng;Ye Zhidong(Department of Cardiovascular Surgery,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中华普通外科杂志》
CSCD
北大核心
2023年第5期341-345,共5页
Chinese Journal of General Surgery
基金
中央高水平医院临床科研业务费(ZRJY2021-QM13)
中日友好医院“菁英计划”人才培育工程(ZRJY2021-QM13)。
