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目的回顾性分析应用不同的外科方式干预颈动脉狭窄和闭塞的疗效。方法对2002年3月至2011年3月收治的82例87侧颈动脉狭窄、闭塞患者,应用颈动脉内膜切除手术治疗76侧,其中传统内膜切除6侧(联合补片成形3侧),外翻式内膜切除70侧,2例同期行双侧颈动脉内切除术;应用支架成形治疗4侧;应用相关旁路手术7例。本组病例均为症状性颈动脉重度狭窄、闭塞(70%～100%)。结果术中、术后无脑卒中、死亡病例;4例术后皮下血肿,12例术后伸舌偏向患侧,经对症处理后均恢复。结论个体化分析、选择合适的外科干预方式治疗颈动脉狭窄和闭塞疾病能够取得较好的疗效。
Objective To retrospectively analyze the effects of different surgical interventions on carotid artery stenosis and occlusion. Methods From March 2002 to March 2011, 82 patients (87 patients) with carotid artery stenosis and occlusion were treated with carotid endarterectomy (76 patients), of which 6 were conventional endomyotomy (3) , Valgus endometriosis resection of 70 sides, 2 cases of bilateral carotid endarterectomy; application of stent treatment of 4 sides; the application of bypass surgery in 7 cases. The patients were severe symptomatic carotid stenosis, occlusion (70% to 100%). Results No intraoperative or postoperative stroke or death occurred. Four cases of postoperative subcutaneous hematoma occurred and 12 cases of postoperative hemorrhagic deformity were located on the affected side. After symptomatic treatment, all patients recovered. Conclusions Individualized analysis, select the appropriate surgical intervention for the treatment of carotid artery stenosis and occlusion disease can achieve better results.