發(fā)布時(shí)間：2018-04-15 04:37

  本文選題：頸動(dòng)脈內(nèi)膜剝脫術(shù) + 藥物治療��； 參考：《實(shí)用醫(yī)學(xué)雜志》2015年20期

【摘要】：目的:評(píng)價(jià)頸動(dòng)脈內(nèi)膜剝脫術(shù)治療無(wú)癥狀頸動(dòng)脈狹窄的中遠(yuǎn)期效果。方法:回顧性分析2009年1月至2013年1月我院215例均接受單側(cè)頸動(dòng)脈內(nèi)膜剝脫術(shù)的無(wú)癥狀頸動(dòng)脈狹窄患者,術(shù)前均行頸動(dòng)脈Duplex超聲、CTA及頭顱MRI檢查,依據(jù)NASCET計(jì)算方法 ,入選患者頸動(dòng)脈狹窄率均≥70%,手術(shù)均選用全身麻醉,術(shù)中選擇性地應(yīng)用補(bǔ)片縫合,術(shù)后定期行超聲及CTA檢查和隨訪。結(jié)果:術(shù)后平均隨訪14~63個(gè)月,術(shù)后1年生存率和同側(cè)卒中發(fā)生率分別為98.6%和1.3%,3年生存率和同側(cè)卒中發(fā)生率分別為95.8%和2.8%;12例患者隨訪中CTA檢查發(fā)現(xiàn)手術(shù)側(cè)頸內(nèi)動(dòng)脈≥50%的再狹窄。結(jié)論 :頸動(dòng)脈內(nèi)膜剝脫術(shù)治療無(wú)癥狀性頸動(dòng)脈狹窄安全、有效,并能有效降低中遠(yuǎn)期腦卒中發(fā)生率,但遠(yuǎn)期存在再狹窄可能,需長(zhǎng)期隨訪。
[Abstract]:Objective: to evaluate the mid-and long-term effect of carotid endarterectomy in the treatment of asymptomatic carotid stenosis.Methods: from January 2009 to January 2013, 215 patients with asymptomatic carotid artery stenosis underwent unilateral carotid endarterectomy. All patients were examined with Duplex and MRI before operation. The results were calculated by NASCET.The stenosis rate of carotid artery in all the patients was 鈮，

本文編號(hào)：1752583