CAJ | 학술논문

目的探讨外翻式颈动脉内膜切除术在治疗颈动脉粥样硬化性狭窄中的疗效.方法总结2009年3-8月20例接受外翻式颈动脉内膜切除术的颈动脉粥样硬化性狭窄患者的临床资料,比较术前、术后的影像学资料和临床症状.结果 20例手术均获成功,患者术后临床症状均得到不同程度改善.患者在出院前均行颈动脉CT血管成像,显示狭窄处完全解除,吻合口扩张.结论外翻式颈动脉内膜切除术治疗颈动脉粥样硬化性狭窄,具有手术时间短、术后再狭窄率低、增厚内膜及斑块剥离彻底等优点.
목적 탐토외번식경동맥내막절제술재치료경동맥죽양경화성협착중적료효.방법 총결2009년3-8월20례접수외번식경동맥내막절제술적경동맥죽양경화성협착환자적림상자료,비교술전、술후적영상학자료화림상증상.결과 20례수술균획성공,환자술후림상증상균득도불동정도개선.환자재출원전균행경동맥CT혈관성상,현시협착처완전해제,문합구확장.결론 외번식경동맥내막절제술치료경동맥죽양경화성협착,구유수술시간단、술후재협착솔저、증후내막급반괴박리철저등우점.
Objective To evaluate the clinical value of eversion carotid endarterectomy in patients with carotid atherosclerosis stenosis. Method Summarized the clinical data of 20 patients who accepted eversiou carotid endarterectomy from March 2009 to August 2009, compared the outcomes with preoperative and postoperative image learnt materials and clinical symptoms. Results All cases finished successfully. All clinical symptoms were improved after operation. The stenosis were all improved completely on the image after operation. Conclusions Eversion carotid endarterectomy is safe, effective, and shortening operative time and hospitalization time. It has low restenosis rate, thicken endometrium and plaque can be stripped completely.