高龄颈动脉狭窄患者颈动脉内膜切除术和颈动脉支架成形术的安全性比较

目的回顾接受颈动脉内膜切除术和颈动脉支架成形术的高龄（≥70岁）颈动脉狭窄患者的临床资料，分析手术安全性。方法共691例颈动脉狭窄患者，121例行颈动脉内膜切除术、570例行颈动脉支架成形术，分析两组患者危险因素、临床特征和术后并发症发生率，评价两种手术方法之安全性。结果术后30d时，两组患者病死率（0．83％对1．05％，P=1．000）、脑卒中（4．13％对1．93％，P=0．258）和心肌梗死（0．83％对0，P=0．175）发生率差异均无统计学意义；但颈动脉内膜切除术组患者术后心脏不良事件（8．26％对1．05％，P=0．000）和脑神经损伤（4．96％对0，P=0．000）发生率高于...

Full description

Saved in:
Bibliographic Details
Published in中国现代神经疾病杂志 Vol. 14; no. 1; pp. 21 - 24
Main Author 谌燕飞 宋刚 凌锋 郭锋 张文彬 华扬 蔡兵 焦力群
Format Journal Article
LanguageChinese
Published 首都医科大学宣武医院神经外科,北京,100053%276000,山东省临沂市人民医院神经外科%271600,山东省肥城市人民医院神经外科%首都医科大学宣武医院血管超声科,北京,100053%首都医科大学宣武医院麻醉科,北京,100053 2014
Subjects
手术后并发症
支架
颈动脉内膜切除术
颈动脉狭窄
Carotid stenosis
手术后并发症
颈动脉狭窄
支架
Stents
Endarterectomy,carotid
Postoperative complications
颈动脉内膜切除术
Online AccessGet full text
ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2014.01.006

Cover

More Information
Summary:目的回顾接受颈动脉内膜切除术和颈动脉支架成形术的高龄（≥70岁）颈动脉狭窄患者的临床资料，分析手术安全性。方法共691例颈动脉狭窄患者，121例行颈动脉内膜切除术、570例行颈动脉支架成形术，分析两组患者危险因素、临床特征和术后并发症发生率，评价两种手术方法之安全性。结果术后30d时，两组患者病死率（0．83％对1．05％，P=1．000）、脑卒中（4．13％对1．93％，P=0．258）和心肌梗死（0．83％对0，P=0．175）发生率差异均无统计学意义；但颈动脉内膜切除术组患者术后心脏不良事件（8．26％对1．05％，P=0．000）和脑神经损伤（4．96％对0，P=0．000）发生率高于颈动脉支架成形术组，而窦性心动过缓或低血压发生率低于颈动脉支架成形术组（0对7．54％，P=0．002）。结论高龄患者接受颈动脉内膜切除术或颈动脉支架成形术均有较高的安全性，术前应全面评价患者基础情况，以减少术后并发症发生率。
Bibliography:Carotid stenosis; Endarterectomy, carotid; Stents; Postoperative complications
CHEN Yan-fei, SONG Gang, LING Feng, GUO Feng, ZHANG Wen-bin, HUA Yang, CAI Bing, JIAO Li-qun（1Department of Neurosurgery, 4Department of Vascular Ultrasound, 5Department of Anesthesiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China 2Department of Neurosurgery, Linyi People＇s Hospital, Linyi 276000, Shandong, China 3Department of Neurosurgery, Feicheng People＇s Hospital, Feicheng 271600, Shandong, China）
Objective To review the clinical data of elderly patients treated by carotid endarterectomy （CEA） and carotid artery stenting （CAS）, and analyze the safety of two kinds of surgery. Methods A total of 691 patients with carotid artery stenosis underwent CEA （121 cases） and CAS （570 cases） respectively. The risk factors, clinical symptoms and postoperative complications in 2 groups of patients were analyzed, and the safety of two kinds of surgery were assessed. Results After 30 d of operation, no significant diffe
ISSN:1672-6731
DOI:10.3969/j.issn.1672-6731.2014.01.006