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目的探讨动脉内膜剥脱和支架植入术治疗颈动脉狭窄的临床价值。方法30例颈动脉狭窄患者行颈动脉内膜剥脱术,35例行颈动脉成形和支架植入术,比较两种治疗方法的疗效差异。结果颈动脉内膜剥脱术的手术成功率为93.3%,术后3年再狭窄率为14.3%;支架植入术的手术成功率为100%,术后3年再狭窄率为18.7%,术后再狭窄率两者比较差异无统计学意义(χ2=0.214,P>0.05)。结论颈动脉内膜剥脱术和支架植入术是治疗颈动脉狭窄的有效方法,但支架植入术创伤小、并发症的发生率低,值得临床进一步推广。
Objective To investigate the clinical value of endarterectomy and stent implantation in the treatment of carotid artery stenosis. Methods Thirty patients with carotid artery stenosis underwent carotid endarterectomy and 35 underwent carotid artery angioplasty and stent implantation. The curative effects of the two treatments were compared. Results The success rate of carotid endarterectomy was 93.3% and the restenosis rate was 14.3% at 3 years after operation. The successful rate of stent implantation was 100% and the rate of restenosis was 18.7% at 3 years after operation There was no significant difference in the rate of restenosis (χ2 = 0.214, P> 0.05). Conclusion Carotid endarterectomy and stenting are effective methods for the treatment of carotid artery stenosis. However, the stents with less trauma and lower complication rate are worthy of further clinical application.