国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2010年
11期
875-880
,共6页
颈动脉狭窄%脑血管重建术%颈动脉内膜切除术%支架%卒中%危险因素
頸動脈狹窄%腦血管重建術%頸動脈內膜切除術%支架%卒中%危險因素
경동맥협착%뇌혈관중건술%경동맥내막절제술%지가%졸중%위험인소
Carotid stenosis%Cerebral revascularization%Endarterectomy,carotid%Stents%Stroke%Risk factors
究竟应采用何种方法 治疗无症状颈动脉狭窄患者一直存在争论,尤其是在最佳药物治疗已能使这些患者的卒中风险显著降低,并且其效果等于甚至优于颈动脉内膜切除术或支架置入术的今天.但是,血管重建技术在无症状颈动脉狭窄患者中的治疗价值并未完全消失,而且随着技术的改进和随访时间的延长,其在降低卒中风险方面的作用或许会更为明显.最佳的药物治疗的确能显著降低无症状颈动脉狭窄患者的卒中风险,但未必能够解决全部问题.文章根据现有资料阐述了不同作者对血管重建治疗无症状颈动脉狭窄的看法.
究竟應採用何種方法 治療無癥狀頸動脈狹窄患者一直存在爭論,尤其是在最佳藥物治療已能使這些患者的卒中風險顯著降低,併且其效果等于甚至優于頸動脈內膜切除術或支架置入術的今天.但是,血管重建技術在無癥狀頸動脈狹窄患者中的治療價值併未完全消失,而且隨著技術的改進和隨訪時間的延長,其在降低卒中風險方麵的作用或許會更為明顯.最佳的藥物治療的確能顯著降低無癥狀頸動脈狹窄患者的卒中風險,但未必能夠解決全部問題.文章根據現有資料闡述瞭不同作者對血管重建治療無癥狀頸動脈狹窄的看法.
구경응채용하충방법 치료무증상경동맥협착환자일직존재쟁론,우기시재최가약물치료이능사저사환자적졸중풍험현저강저,병차기효과등우심지우우경동맥내막절제술혹지가치입술적금천.단시,혈관중건기술재무증상경동맥협착환자중적치료개치병미완전소실,이차수착기술적개진화수방시간적연장,기재강저졸중풍험방면적작용혹허회경위명현.최가적약물치료적학능현저강저무증상경동맥협착환자적졸중풍험,단미필능구해결전부문제.문장근거현유자료천술료불동작자대혈관중건치료무증상경동맥협착적간법.
There has been controversy over what method should be used to treat patients with asymptomatic carotid stenosis, especially the optimal medical therapy has been able to reduce the risk of stroke significantly in these patients and its efficacy is equal to or even exceed today's carotid endarterectomy or stenting. However, the treatment value of revascularization in patients with asymptomatic carotid stenosis does not completely disappear, and with the improved technologies and the prolonged follow-up time, their effects may be more apparent in reducing the risk of stroke. The optimal medical treatment can indeed significantly reduce the risk of stroke in patients with asymptomatic carotid stenosis, but it may not be able to solve all the problems. This article expounds the opinions of different authors in the treatment of asymptomatic carotid stenosis with revascularization according to the data available.
