Davies A H, Hayward J K, Currie I, Cole S E, Lopatazidis A, Lamont P M, Baird R N
Department of Vascular Studies, Bristol Royal Infirmary, UK.
Cardiovasc Surg. 1996 Jun;4(3):338-9. doi: 10.1016/0967-2109(95)00108-5.
The quoted combined mortality and morbidity following carotid endarterectomy is about 5-7%. In an attempt to identify a subgroup of high risk patients, a review has been undertaken of 404 carotid endarterectomies performed between January 1985 and March 1994. The perioperative mortality rate was 2%, with 3.4% of patients experiencing transient neurological deficits and 4% permanent strokes. Multiple logistic regression analysis was used to estimate the influence on outcome of age, gender, indication for surgery, bilateral internal carotid artery disease, hypertension and smoking. No significant explanators were identified.
颈动脉内膜切除术后公布的综合死亡率和发病率约为5%-7%。为了识别高危患者亚组,对1985年1月至1994年3月间进行的404例颈动脉内膜切除术进行了回顾。围手术期死亡率为2%,3.4%的患者出现短暂性神经功能缺损,4%出现永久性中风。采用多因素逻辑回归分析来评估年龄、性别、手术指征、双侧颈内动脉疾病、高血压和吸烟对预后的影响。未发现显著的解释因素。