摘要
目的探讨初次开展颈动脉内膜剥脱术(carotid endarterectomy,CEA)的经验教训,为拟开展CEA的同行提供参考。方法回顾我院初次开展CEA的前期准备过程及围手术期的管理办法,总结经验教训。结果两院区共实施CEA术31例,其中A院区12例(38.7%);其中B院区19例(61.3%)。A区平均阻断时长(56.4±12.6)min,总手术时长(231.2±58.8)min;B区平均阻断时长(35.9±9.8)min,总手术时长(204.5±34.5)min。术后并发症共6例(19.4%)。其中A院区术后颅内出血2例(6.5%),颈部血肿1例(3.2%);B院区颈部血肿2例(6.5%)、颈动脉闭塞1例(3.2%);两院区均无症状性脑梗死病例。结论开展前规范培训,术前严谨的评估、术中规范的操作、术后科学的管理,能大大降低手术风险并减少并发症的发生。
Objective To explore lessons learned from the initial launch of(carotid endarterectomy,CEA)surgery and provide experience for other doctors.Methods The preparation process of CEA surgeries in our hospital were reviewed of and summarized.Results A total of 31 cases of CEA were performed in two departments.There were 6 cases of postoperative complications,including 3 cases of cervical hematoma,2 cases of intracranial hemorrhage and 1 case of carotid artery occlusion.Conclusion Reasonable training,rigorous evaluation,standardized operation and scientific management can greatly reduce the risk of surgery and minimize the occurrence of complications.
作者
游慧超
李文琦
陈迎春
盛柳青
李欢欢
别毕州
汪志忠
叶建锋
李俊
YOU Huichao;LI Wenqi;CHEN Yingchun(Department of Neurosurgery,The Third People’s Hospital of Hubei Province,Wuhan 430032,China)
出处
《中风与神经疾病杂志》
CAS
2020年第8期735-737,共3页
Journal of Apoplexy and Nervous Diseases
基金
2019年度湖北省第三批联合基金立项项目(No.WJ2019H328)。
关键词
颈动脉内膜剥脱术
并发症
管理
Carotid endarterectomy
Complications
Management
作者简介
通讯作者:李俊,E-mail:13006163722@163.com。
