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1966年至1976年颈动脉动脉硬化的治疗。早期和晚期结果(作者译)

[Treatment of carotid artery arteriosclerosis 1966 to 1976. Early and late results (author's transl)].

作者信息

Van de Berg L

出版信息

Acta Chir Belg. 1979 Mar-Apr;78(2):103-13.

PMID:463454
Abstract

Early and late results of surgery for carotid arteriosclerosis between 1966 and 1976 were reviewed in 154 patients (192 operations). The percentages of excellent and good early results were 96.7% (stage 0), 91.3% (stage I), 46.6 (stage II) and 51.6% (stage III). Overall mortality was 9.1% within the month (3.8% as neurovascular risk). In late results, out of 140 survivors, the percentages of excellent and good results were 69% in stage 0, 59.7% in stage I, 45.5% in stage II and 56.7% in stage III, the mean delay being 40.5 months. There were 3.6% cases of neurological disorders (0.7% corresponding to the side of the operated carotid artery), 7.1% of vertigo and arterial hypertension, 33 (new) deaths (23.6%) occurred after a mean 31.3 months, of which 16 resulted from some cardiovascular trouble. The cumulative survival curves parallel those of the normal population showing the protection yielded by the operation and the decrease in neurovascular risk.

摘要

回顾了1966年至1976年间154例患者(192次手术)颈动脉粥样硬化手术的早期和晚期结果。早期结果优秀和良好的百分比分别为:0期96.7%、I期91.3%、II期46.6%、III期51.6%。当月总体死亡率为9.1%(作为神经血管风险为3.8%)。晚期结果方面,在140名幸存者中,0期优秀和良好结果的百分比为69%,I期为59.7%,II期为45.5%,III期为56.7%,平均延迟时间为40.5个月。有3.6%的病例出现神经功能障碍(0.7%与手术侧颈动脉相关),7.1%出现眩晕和动脉高血压,平均31.3个月后有33例(新)死亡(23.6%),其中16例死于某些心血管疾病。累积生存曲线与正常人群的曲线平行,显示出手术带来的保护作用以及神经血管风险的降低。

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