【摘要】 目的探讨颈动脉内膜剥除术(CEA)治疗颅外颈动脉狭窄疗效及体会。方法回顾分析21例动脉粥样硬化性颈动脉狭窄行CEA,探讨相关的手术适应证、手术方法、麻醉方法及术后处理。结果本组无死亡,21例患者均在全麻下行CEA,10例放置颈动脉转流管,其中3例放置失败,11例未放置;头昏、头晕及TIA症状明显改善19例;7例术后出现高血压;1例术后6 h发生喉头水肿,脑梗死面积较术前增大,经治疗好转出院。结论 CEA是治疗动脉粥样硬化性颈动脉狭窄的有效方法,应严格适应证,做好围手术期处理,合理使用转流管,以减少并发症发生。更多还原

【Abstract】 Objective To investigate the effect of the carotid endarterectomy(CEA) on extracranial carotid artery stenosis.Methods The clinical records of 21 patients with atherosclerotic carotid stenosis,who treated by CEA,were reviewed and related surgical indications,operation methods,anesthetic methods and postoperative treatments were discussed.Results No surgical deaths occurred.21 patients were treated with CEA in general anesthesia,in which 10 carotid shunts were used(3 cases failed).The clinical complaints of dizziness,headache and TIA were improved in 19 cases.7 cases presented hypertension after operation,and one case was found laryngeal edema six hours after operation and larger cerebral infarction area than that before operation and recovered after proper treatment.Conclusion CEA is effective and safe in treatment of atherosclerotic carotid stenosis.Lowering the risk of operation is done by handling indication seriously,careful perioperative treatment and properly using carotid shunt.更多还原