[颈动脉狭窄和闭塞内膜切除术的临床分析]
[Clinical analysis of endarterectomy to the stenosis and occlusion of carotid artery].
作者信息
Chen Xue-ming, Wang Tian-you, Gao Feng-ling, Xia Ji-yong, Chen Xue-dong
机构信息
Department of Thoracic and Cardiovascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2004 Feb 22;42(4):233-5.
OBJECTIVE
To sum up the experience of carotid endarterectomy (CEA).
METHODS
From January 1999 to July 2003, 59 patients were treated by CEA. There were 40 males and 19 females, and their age ranged from 56 to 79 years with an average of 71.8 years. The stenotic degree of internal carotid artery were over 80% in all cases. The left lesions were in 35 cases, and the right in 19, and the bilateral in 5. Patching were in 5, bypass with a great saphenous vein in 2.
RESULTS
Fifty-five cases were excellent. Two patient died, one was caused by hyperperfusion syndrome, the another was due to the acute cardiac infarction at 31 days after operation. The complications included 5 hematosis and 1 hoarseness.
CONCLUSION
CEA is still the best method in treating the stenosis and occlusion of carotid artery.
目的
总结颈动脉内膜切除术（CEA）的经验。
方法
1999年1月至2003年7月，59例患者接受了CEA治疗。其中男性40例，女性19例，年龄56至79岁，平均71.8岁。所有病例颈内动脉狭窄程度均超过80%。左侧病变35例，右侧19例，双侧5例。5例行补片修补，2例行大隐静脉搭桥。
结果
55例效果优良。2例死亡，1例死于高灌注综合征，另1例死于术后31天急性心肌梗死。并发症包括5例血肿和1例声音嘶哑。
结论
CEA仍是治疗颈动脉狭窄和闭塞的最佳方法。
Zotero 插件