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颈动脉切除术的死亡率高达10～60％,故本术能否成功,和大脑侧支循环的建立至关重要。目前的预测侧支循环的方法均欠精确,Matas法虽为侧支循环的建立,奠定了有利基础,但仅凭病人感觉来判断其结果,显然极不可靠。脑血流图用于配合外科手术尚未见报道,我院自1979年将脑血流图检测与颈动脉压迫锻炼相结合,术前预测侧支循环建立的情况、能对手术起到保驾作用、术后监护,尤是手术成功的关键。本组15例手术,均获成功,因此,我们认为此法安全、简便、无创伤、可动态观察,用于颈动脉切除术准确可靠,值得推荐。
Carotid resection mortality rate as high as 10 to 60%, so the success of this operation, and the establishment of the brain collateral circulation is essential. The current methods of predicting collateral circulation are not accurate, although the Matas method for the establishment of collateral circulation has laid a good foundation, but the patient’s feelings to determine the results, obviously extremely unreliable. Cerebral blood flow diagram used in conjunction with surgery has not been reported, our hospital since 1979 cerebral blood flow test and carotid compression exercise combined preoperative prediction of collateral circulation to establish the situation, can play a role in the surgery, Postoperative care, especially surgery is the key to success. This group of 15 cases of surgery, have been successful, therefore, we think this method safe, simple, non-invasive, dynamic observation, for carotid resection accurate and reliable, it is recommended.