Dé P, Heise S, Burger-Deinert E, Hepp W
Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Freie Universität Berlin.
Vasa. 1993;22(2):149-56.
In a 2 1/2 years period between 1.1.1984 and 30.6.1986 292 carotid endarterectomies were carried out on 235 patients. The aim of this study was to find out prognostic factors influencing early results and long term patency. Therefore we worked on 33 parameters for statistical significance. A high statistical correlation was found in three working hypotheses: 1. Higher incidence of neurological troubles when coincidence with stenosis in the rear brain arteries. 2. Shorter life expectancy if previous insults occurred. 3. Higher rate of restenosis when preoperatively high grade stenosis. A lower statistical correlation was found in the following hypotheses: 1. Older patients have more concomitant risk factors for arteriosclerosis than younger. 2. Older patients present preoperatively a more severe degree of arteriosclerosis. 3. Risk of severe insult is correlating with age. For the rest of the 33 parameters no statistical significance was found. The results are presented in detail.
在1984年1月1日至1986年6月30日的两年半时间里,对235例患者实施了292例颈动脉内膜切除术。本研究的目的是找出影响早期结果和长期通畅率的预后因素。因此,我们针对33个参数进行了统计学显著性分析。在三个工作假设中发现了高度的统计相关性:1. 与后脑动脉狭窄同时存在时,神经问题的发生率更高。2. 既往有损伤时,预期寿命较短。3. 术前高度狭窄时,再狭窄率较高。在以下假设中发现了较低的统计相关性:1. 老年患者比年轻患者有更多的动脉硬化伴随危险因素。2. 老年患者术前动脉硬化程度更严重。3. 严重损伤的风险与年龄相关。对于其余33个参数,未发现统计学显著性。现将结果详细呈现。