首页|颈动脉内膜剥脱术治疗对颅外颈动脉狭窄患者的有效性及安全性

颈动脉内膜剥脱术治疗对颅外颈动脉狭窄患者的有效性及安全性

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目的 探究为颅外颈动脉狭窄患者应用颈动脉内膜剥脱术治疗的临床效果。方法 对 2020 年 1 月至 2021 年12 月巩义市人民医院和天津市环湖医院收治的 42 例满足外科手术指征的颅外颈动脉狭窄患者,以对患者展开手术治疗措施差异作为分组标准,分为对照组与观察组,各 21 例。两组患者分别应用颈动脉支架置入术治疗、颈动脉内膜剥脱术治疗。比较两组患者在术后颈动脉狭窄再通率、围术期并发症事件及随访 1 年间心血管事件发生率。结果 对照组患者颈动脉狭窄再通率与观察组患者比较,差异无统计学意义(P>0。05)。对照组患者在围术期并发症发生情况与观察组比较,差异无统计学意义(P>0。05)。随访 1 年,末次随访对照组患者出现心血管事件例数与观察组比较,差异无统计学意义(P>0。05)。结论 颈动脉内膜剥脱术对颅外颈动脉狭窄应用有较高的再通成功率,且患者治疗期间出现相关不良风险偏低,对于患者在治疗的有效性、安全性均有重要价值。
Efficacy and Safety of carotid Endarterectomy for Patients with extracranial carotid Artery Stenosis
Objective To explore the clinical efficacy of carotid endarterectomy in the treatment of extracranial carotid artery stenosis patients.Methods A total of 42 patients with extracranial carotid artery stenosis who met surgical indications and were admitted to Gongyi People's Hospital and Tianjin Huanhu Hospital from January 2020 to December 2021 were divided into control group and observation group based on differences in surgical treatment measures,with 21 patients in each group.Two groups of patients were treated with carotid stent placement and carotid endarterectomy,respectively.The rates of postoperative carotid artery stenosis recanalization,perioperative complications,and 1-year follow-up cardiovascular events between two groups of patients were compared.Results There was no statistically significant difference(P>0.05)in the reperfusion rate of carotid artery stenosis between the control group and the observation group.There was no statistically significant difference in the incidence of perioperative complications between the control group and the observation group(P>0.05).After one-year follow-up,there was no statistically significant difference in the number of cardiovascular events between the control group and the observation group in the last follow-up(P>0.05).Conclusion Carotid endarterectomy has a high success rate for recanalization of extracranial carotid artery stenosis,and the associated adverse risk during treatment is low,which is of great value for the effectiveness and safety of treatment for patients.

carotid endarterectomyextracranial carotid artery stenosisclinical effects

铁江辉、马琳、李庆菲

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巩义市人民医院 神经外科,河南 巩义 451200

天津市环湖医院神经外科,天津 300000

颈动脉内膜剥脱术 颅外颈动脉狭窄 临床效果

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
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