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目的探讨颈动脉内膜剥脱术治疗颈动脉狭窄的手术指征、手术方法及围手术期的处理。方法回顾性总结2006年1月-2008年12月期间128例颈动脉硬化狭窄而行颈动脉内膜剥脱术患者的临床资料。结果大部分患者症状改善,术后用Doppler超声检查,证实颈总动脉和颈内动脉血流量明显增加。围手术期死亡0例。结论颈动脉内膜剥脱术是治疗颅外颈动脉狭窄、预防脑梗死、改善脑供血的安全有效的方法。
Objective To investigate the surgical indications, surgical methods and perioperative management of carotid endarterectomy in the treatment of carotid artery stenosis. Methods The clinical data of 128 patients with carotid atherosclerosis undergoing carotid endarterectomy were retrospectively reviewed from January 2006 to December 2008. Results The symptoms of most of the patients were improved. Doppler ultrasonography was performed after operation. The blood flow of the common carotid and internal carotid arteries was significantly increased. Perioperative deaths in 0 cases. Conclusion Carotid endarterectomy is a safe and effective method to treat extracranial carotid stenosis, prevent cerebral infarction and improve cerebral blood supply.