目的探讨应用颈动脉支架成形术治疗症状性颈动脉狭窄的临床效果。方法 30例症状性颈动脉狭窄患者作为研究对象,对其临床资料进行回顾性分析。所有患者均采用颈动脉支架成形术治疗,观察临床效果及并发症。结果经治疗后,斑块狭窄消失患者有17例,残余狭窄在10%~20%之间的患者有9例,在10%以下的患者为4例;4例患者术中出现并发症,且1例患者出现永久性偏瘫,致残率为3.3%;随访1例患者再狭窄,无脑卒中复发现象,复发率为3.3%。结论对症状性颈动脉狭窄患者应用颈动脉支架成形术临床效果显著,可行性、安全性高,值得推广应用。 Objective To investigate the clinical effect of carotid stenting on symptomatic carotid artery stenosis. Methods Thirty patients with symptomatic carotid stenosis were selected as the study subjects, and their clinical data were retrospectively analyzed. All patients were treated with carotid stenting, to observe the clinical effects and complications. Results After treatment, there were 17 patients with plaque disappearance, 9 patients with residual stenosis between 10% and 20%, 4 patients below 10%, 4 patients with intraoperative complications, and One patient had permanent hemiparesis with a morbidity of 3.3%. One patient was followed up for a restenosis without recurrence of stroke, with a recurrence rate of 3.3%. Conclusion The clinical effect of carotid stenting on patients with symptomatic carotid artery stenosis is significant, feasibility and safety are worth popularizing.