CAJ | 학술논문

目的探讨颈动脉内膜剥脱术(CEA)的手术方法及要点,以降低围手术期脑卒中的发生率及术后再狭窄发生率.方法回顾性分析总结2006年3月至2011年11月本院血管外科行CEA 63例.术前常规多普勒彩超、CTA检查.所有患者均在全麻下行CEA,术中常规置颈动脉转流管和使用血管补片做颈动脉成形术.结果围手术期及术后30d均无死亡及脑卒中发生,术后随诊均无再发.3例6个月后颈动脉轻度狭窄(＜40％),余患者均无颈动脉再狭窄.结论颈动脉内膜剥脱术中,常规运用颈动脉转流管及采用血管补片做动脉成形术,可有效提高手术的安全性及减少术后再狭窄发生.
목적 탐토경동맥내막박탈술(CEA)적수술방법급요점,이강저위수술기뇌졸중적발생솔급술후재협착발생솔.방법 회고성분석총결2006년3월지2011년11월본원혈관외과행CEA 63례.술전상규다보륵채초、CTA검사.소유환자균재전마하행CEA,술중상규치경동맥전류관화사용혈관보편주경동맥성형술.결과 위수술기급술후30d균무사망급뇌졸중발생,술후수진균무재발.3례6개월후경동맥경도협착(＜40％),여환자균무경동맥재협착.결론 경동맥내막박탈술중,상규운용경동맥전류관급채용혈관보편주동맥성형술,가유효제고수술적안전성급감소술후재협착발생.
Objective Discusses the peeling carotid endarterectomy tcchnique(CEA) operation methods and main points,around the time of surgery to reduce the incidence of stroke and postoperative restenosis rate.Methods Retrospectively analyzed and summarized for the CEA 21 cases in vascular surgery in our hospital from March 2006 to November 2011.Conventional Doppler ultrasonography,preoperative CTA.All the patients were under general anesthesia CEA,conventional set neck artery bypass tube surgery and vascular patch for carotid angioplasty.Results Around the time of surgery and postoperative 30 d were no deaths and stroke occurred and the follow-up both not again hair.In 3 6 months after mild carotid artery stenosis (＜40％),patients were no more than the carotid artery stenosis again.Conclusion Carotid endarterectomy exfoliative procedure the routine use carotid artery flow pipe and the blood vessels to patch do artery figuration,which can effectively improve the safety of the procedure and reduce postoperative restenosis happen.