摘要
目的:应用颈动脉内膜切除术(CEA)剥除因粥样硬化所增厚之颈内动脉内膜,改善大脑循环,以降低致命或致残的缺血性脑血管病发病率。方法:对12例因颈动脉硬化性狭窄病变(狭窄超过70%)之脑缺血患者成功实施了颈内动脉内膜切除术。所有病例均采用经鼻插管全身麻醉,脑电图术中监测,经典内膜切除,术中均未使用转流管,术中颈动脉血流阻断时间18-36min。结果:所有病例术后均未发生严重并发症,随访1-12个月,未发现有中风及死亡者。结论:对于严重的颈动脉狭窄患者行颈动脉内膜切除术可有效地预防致命或致残的缺血性脑血管病的发生。
Objective： To assess the application of carotid endarterectomy （CEA） to trip the increased thickeness of tunica intima of carotid artery due to atherosclerosis, thus to ameliorate the circulation of the brain to reduce the incidence rate of brain vascular disorder, which can be fatal or disabling. Methods： 68 patients were detected and all of them suffered from cerebral ischemia because of sclerosteisis of carotid artery （constriction was more than 70% of the artery）. CEA was performed successfully in 12 of them. All the patients were given genersl anesthesia through nasotrachesl intubation. We sdopted classic endarterectomy and did not use indwelling shunt. The blood flow of carotid arteries were blocked 18- 36 minutes. Results ：In the 1-12 month follow-ups,none of the patients suffered from severe complications. Conclusion：Application of CEA in patients who suffer from severe carotid artery stenosis can effectively reduce the incidence rate of ischemic cerebrovascular disease, which can be fatal or disabling.
出处
《陕西医学杂志》
CAS
北大核心
2005年第9期1053-1055,共3页
Shaanxi Medical Journal
基金
陕西省卫生科学研究基金资助项目(No04D45)
