Theodotou B, Mahaley M S
Stroke. 1985 Sep-Oct;16(5):894-5. doi: 10.1161/01.str.16.5.894.
The incidence of local nerve injury among 192 consecutive carotid endarterectomies in 162 patients between 1977-1983 was determined from review of the medical records. Two facial nerve, 5 hypoglossal nerve, and 2 vagus nerve injuries were discovered for a total incidence of 4.7%. Only the 2 facial nerve injuries failed to improve over 2 years. Followup ranged from 1 to 60 months in this group of patients. Careful attention to details of tissue dissection at surgery should lower the incidence of nerve injury during carotid endarterectomy.
通过查阅病历,确定了1977年至1983年间162例患者连续接受的192例颈动脉内膜切除术患者中局部神经损伤的发生率。发现2例面神经、5例舌下神经和2例迷走神经损伤,总发生率为4.7%。只有2例面神经损伤在2年内未改善。该组患者的随访时间为1至60个月。在手术中仔细注意组织解剖细节应能降低颈动脉内膜切除术期间神经损伤的发生率。