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外科研究与新技术（中英文）

外科研究与新技术 ›› 2022, Vol. 11 ›› Issue (2): 87-89.doi: 10.3969/j.issn.2095-378X.2022.02.003

• 论著 • 上一篇    下一篇

颈动脉内膜剥脱术治疗颈内动脉重度狭窄60例临床分析

刘博, 张宗强, 何博, 侯文蛟   

  1. 新疆伊宁市兵团四师医院神经外科,新疆 伊宁 835000
  • 收稿日期:2021-09-22 出版日期:2022-06-28 发布日期:2022-12-30
  • 作者简介:刘 博（1975—）,男,大学本科,副主任医师,从事临床神经外科工作;13999581819@163.com

Carotid endarterectomy for severe internal carotid artery stenosis： A clinical analysis of 60 cases

LIU Bo, ZHANG Zongqiang, HE Bo, HOU Wenjiao   

  1. Department of Neurosurgery, Xinjiang Yining Corps Fourth Division Hospital, Yining 835000, Xinjiang, China
  • Received:2021-09-22 Online:2022-06-28 Published:2022-12-30

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摘要： 目的 观察分析颈动脉内膜剥脱术治疗重度颈内动脉狭窄的临床效果。方法 选取2018年3月—2021年3月新疆伊宁市兵团四师医院神经外科收治的颈内动脉狭窄患者120例为研究对象,随机分为对照组（n=60,行颈动脉支架置入术）和观察组（n=60,行颈动脉内膜剥脱术）;比较两组患者治疗后认知功能、生存质量、临床疗效及术后并发症。结果 治疗前,两组WHOQOL-BREF评分、MoCA评分无统计学差异（P>0.05）;治疗后,两组WHOQOL-BREF评分、MoCA评分改善明显且观察组显著高于对照组（P<0.05）;观察组临床总有效率显著高于对照组（P<0.05）;观察组并发症总发生率显著低于对照组（P<0.05）。结论 颈动脉内膜剥脱术治疗重度颈内动脉狭窄的临床效果显著,可明显改善患者颈动脉血运,提升患者认知功能和生存质量。

关键词: 颈内动脉, 重度狭窄, 内膜剥脱术, 认知功能, 生存质量

Abstract: Objective To observe and analyze the clinical effect of carotid endarterectomy on severe internal carotid artery stenosis. Methods From March 2018 to March 2021, a total 120 cases of internal carotid artery stenosis admitted to the Department of Neurosurgery of Xinjiang Yining Corps Fourth Division Hospital were selected as study subjects and randomly divided into a control group （n = 60, carotid artery stenting） and an observation group （n = 60, carotid endarterectomy）. Cognitive function after operation, quality of life, clinical efficacy, and postoperative complications were compared between the two groups. Results Before treatment, there were no significant differences in WHOQOL-BREF score and MoCA score between the two groups （P>0.05）. After treatment, the WHOQOL-BREF score and MoCA score of the two groups were improved significantly, and the scores in the observation group were significantly higher than those in the control group （P<0.05）. The total clinical effective rate in the observation group was significantly higher than that in the control group （P<0.05）. The total incidence rate of complications in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion Carotid endarterectomy shows an obvious clinical effect on severe internal carotid artery stenosis; it can significantly improve patients’ carotid artery blood supply, cognitive function, and quality of life.

Key words: Carotid artery, Severe stenosis, Endarterectomy, Cognitive function, Quality of life

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