The clinical study of standard carotid endarterectomy and eversion carotid endarterectomy for carotid artery stenosis
Objective To investigate the efficacy of standard carotid endarterectomy(sCEA)and valvulation carotid endar-terectomy(eCEA)in the treatment of carotid artery stenosis.Methods The clinical data of 108 patients undergoing carotid endarterectomy(CEA)from January 2022 to December 2023 in the First Affiliated Hospital of Zhengzhou University were ret-rospectively analyzed,and they were divided into control group(sCEA)and study group(eCEA)according to different surgi-cal methods,with 54 cases in each group.Results The total effective rate of the study group was 94.44％ compared with 92.59％ in the control group,with no statistical significance(P＞0.05).The cognitive function scores before surgery of the two groups were no ststictical significance(P＞0.05).Three months after operation,the cognitive function of both groups was improved(P＜0.05).Three months after operation,the difference of cognitive function scores between the two groups were no ststictical significance(P＞0.05).The duration of blockade and operation in the study group was(21.46±2.18)min and(80.14±15.45)min,both shorter than that in the control group,and the utilization rate of antibiotics,circulation tube and treatment cost were lower than those in the control group(P＜0.05).The incidence of neurological injury,stroke and other complications in the study group was 3.70％and 1.85％,which had no statistical significance compared with 7.41％ and 3.70％ in the control group(P＞0.05).However,the postoperative rest-enosis rate in the study group was 1.85％,which was lower than 5.56％in the control group(P＜0.05).Conclusion Both sCEA and eCEA can effectively treat carotid artery stenosis with high safety.eCEA has more advantages in reducing blockade,operation time,antibiotics,circulation tube utilization rate and treatment cost,can reduce the incidence of postoperative rest-enosis,and can be used as the first choice for the treatment of carotid artery stenosis.
Carotid artery stenosisCarotid endarterectomy plaqueClinical study
NETL
NSTL
万方数据
