CAJ | 학술논문

目的探讨自发性颈动脉内膜剥脱症(SCAD)的诊断与治疗方法.方法回顾性分析9例SCAD患者的临床诊断和治疗资料.结果血管超声检查显示颈动脉管腔狭窄或闭塞.脑血管造影显示闭塞病变近端呈“火焰征”,狭窄病变内见内膜片游离.1例患者双侧颈内动脉完全闭塞,6例患者单侧颈内动脉完全闭塞,接受抗血小板治疗；2例颈动脉不完全闭塞者接受血管内支架植入术,治疗均取得较满意效果.结论脑血管造影是诊断SCAD的金标准,血管内支架植入术是治疗SCAD的有效方法.
목적탐토자발성경동맥내막박탈증(SCAD)적진단여치료방법.방법 회고성분석9례SCAD환자적림상진단화치료자료.결과혈관초성검사현시경동맥관강협착혹폐새.뇌혈관조영현시폐새병변근단정“화염정”,협착병변내견내막편유리.1례환자쌍측경내동맥완전폐새,6례환자단측경내동맥완전폐새,접수항혈소판치료；2례경동맥불완전폐새자접수혈관내지가식입술,치료균취득교만의효과.결론뇌혈관조영시진단SCAD적금표준,혈관내지가식입술시치료SCAD적유효방법.
Objective To discuss the diagnosis and treatment of spontaneous carotid artery dissection (SCAD).Methods Clinical diagnosis and treatment data of 9 patients with SCAD were analyzed retrospectively.Results Vascular ultrasound showed stenoses or occlusions of carotid artery.Angiography showed “flame-shaped ” sign in totally occluded proximal section and free intimal flap in stenoses section.One patient with total occlusion of bilateral internal carotid artery and 6 patients with total occlusion of unilateral internal carotid artery were treated with antiplatelet therapy.Two patients with incomplete occlusion of the carotid were operated with stent implantation in carotid arteries,and the clinical effect of both operations was satisfactory.Conclusion Angiography remains the gold standard in diagnosing SCAD,and stent implantation is an effective treatment of this disease.