| 时飞 姜虹宇 时忠华 陈罡 黄亚波.颈动脉狭窄的显微外科治疗[J].,2015,15(3):484-486 |
| 颈动脉狭窄的显微外科治疗 |
| Microsurgical Treatment of Carotid Stenosis |
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| DOI： |
| 中文关键词: 颈内动脉狭窄 颈动脉内膜剥脱术 微血管多普勒超声 显微外科手术 |
| 英文关键词: Carotid stenosis Endarterectomy MVD Microsurgical |
| 基金项目:国家自然科学基金青年科学基金项目（81100872） |
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| 中文摘要: |
| 目的：评价颈动脉内膜剥脱术治疗颅外颈动脉狭窄的疗效，以及经颅多普勒超声(TCD)、微血管多普勒超声（MVD）应用的价
值。方法：回顾性分析2012 年5 月至2013 年5 月采用颈动脉内膜剥脱术治疗的19例颅外颈动脉狭窄的资料。均伴有不同程度
的脑缺血症状。颈动脉狭窄程度2例中度狭窄，17 例重度狭窄。同时行颈动脉内膜剥脱术均在显微镜下操作。1 例采用补片成形。
18 例术中采用TCD及MVD监测下完成，1 例未采用超声监测。结果：手术成功率为100%，无死亡率。术前脑缺血症状术后患者
均有不同程度的恢复。均未发现过度灌注的并发症。结论：颈动脉内膜剥脱术治疗颅外颈动脉狭窄是一种安全、有效的措施；MVD
及TCD监测对于显微手术有着重要意义。 |
| 英文摘要: |
| Objective:To evaluate the effect of carotid endarterectomy on extracranial carotid artery stenosis and the role of
transcranial Doppler (TCD) and Microvascular Doppler (MVD) in carotid endarterectomy.Methods:From May 2012 to May 2013, 19
patients were selected in our hospital. All patients had symptoms of cerebral ischemia. 2 patients had middle carotid artery stenosis and
the others had severe carotid artery stenosis. All patients were under microsurgery. Only 1 patient had angioplasty with arterial patch.
TCD and MVD monitoring was used in the surgery of 18 patients while 1 patient was not.Results:Surgery was successful in all patients.
Cerebral ischemic symptoms improved to a certain degree in all the 19 preoperative symptomatic patients. No hyperperfusion was found
in these patients.Conclusion:Carotid endarterectomy is a safe and effective procedure for treating extraeranial carotid artery stenosis.
MVD and TCD monitoring is valuable in microsurgery. |
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