颈动脉内膜剥脱术治疗颈动脉狭窄的手术技巧及疗效分析

Surgical Technique and Curative Effect Analysis of Carotid Artery Endarterectomy for Carotid Artery Stenosis

摘要: 目的：为探讨颈动脉内膜剥脱术治疗颈动脉狭窄的手术技巧及疗效。方法：回顾性分析32例颈动脉狭窄患者的病例资料、临床表现、手术方式、术后并发症及随访结果。结果：32例患者均顺利实施颈动脉内膜剥脱术，其中采用翻转式7 (22%)例，术后高灌注综合征3 (9%)例，术后脑出血2 (6%)例，术后随访至今，所有患者均未发生术侧再狭窄。结论：颈动脉内膜剥脱术是治疗颈动脉狭窄的安全有效方法，熟练掌握手术操作技巧可明显提高手术成功率，减少术后并发症的发生。

Abstract: Objective: To investigate the operative technique and curative effect of carotid artery endarterectomy for carotid artery stenosis. Methods: The data, clinical manifestations, surgical methods, postoperative complications and follow-up results of 32 patients with carotid artery stenosis were retrospectively analyzed. Results: Carotid endarterectomy was performed successfully in all 32 patients, including 7 (22%) patients who were treated by inverted type, 3 (9%) patients with postoperative hyperperfusion syndrome, and 2 (6%) patients with postoperative cerebral hemorrhage. No intraoperative restenosis occurred in all the patients during postoperative follow-up up to now. Conclusion: Carotid endarterectomy is a safe and effective method for the treatment of carotid artery stenosis.