| 吴志忠 徐春燕 曹红飞.颈动脉支架成形术治疗症状性颈动脉狭窄的效果观察[J].实用中西医结合临床,2016,16(2):4-7 |
| 颈动脉支架成形术治疗症状性颈动脉狭窄的效果观察 |
| Observation on the Curative Effect of Carotid Stenting for Symptomatic Carotid Stenosis |
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| DOI： |
| 中文关键词: 症状性颈动脉狭窄 缺血性脑卒中 血管内治疗 支架置入术 |
| 英文关键词: Symptomatic carotid artery stenosis Ischemic stroke Endovascular treatment Stenting |
| 基金项目:新余市科技局“社会发展支撑计划”项目（编号：2013001015） |
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| 中文摘要: |
| 目的：观察颈动脉支架成形术治疗症状性颈动脉狭窄的疗效。方法：收集2013年1月~2014年3月我院治疗的症状性颈动脉狭窄患者119例，其中观察组60例，给予颈动脉支架成形术治疗，对照组59例，采用内科保守治疗，比较两组患者的治疗效果，记录手术并发症，术后一年随访比较复发情况。结果：观察组共置入63枚支架，手术成功率达100%。治疗后观察组病变狭窄率明显低于对照组（P＜0.05）；分别于治疗后3、6、12个月对两组患者行NIHSS评分随访，观察组评分明显均低于对照组（P＜0.05）。治疗后12个月随访，观察组复发率5.00%，病死率5.00%；对照组复发率达22.03%，病死率为18.64%，两组比较均有显著差异（P＜0.05）。结论：应用颈动脉狭窄支架成形术治疗症状性颈动脉狭窄安全有效，复发少，并发症少，值得临床推广。 |
| 英文摘要: |
| Objective: To observe the curative effect of carotid stenting for symptomatic carotid stenosis. Methods: The cases with symptomatic carotid stenosis were treated in the hospital from January 2013 to March 2014 were collected. 60 Cases for the observation group were treated by the carotid stenting, and 59 cases were treated by the medical treatment. The therapeutic effect was compared between two groups, the operative complications were recorded, and recurrence rate was compared after one year. Results: In the observation group, there were 63 stents implanted, and the success rate was 100%. The stenosis rate of the observation group (5.0±5.8)% was significantly lower than of the control group (63.4±12.3)% (P＜0.05). The NIHSS score of two groups were followed up for 3, 6 and 12 months after treatment, the scores were significantly better in the observation group than in the control group (P＜0.05). Followed up for 1 year after treatment, the recurrence rate was 5.00% and the mortality rate was 5.00% in the observation group; the recurrence rate reached 22.03% and the mortality rate was 18.64% in the control group. There were significant difference between the two groups (P＜ 0.05). Conclusion: Carotid stenosis is a safe and effective treatment for symptomatic carotid stenosis, has fewer recurrence and less complications, and is worthy of clinical promotion. |
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