
頸動脈内膜切除手術
Objective To observe the hemodynamics changes in carotid stenosis patients before and after carotid endarterectomy(CEA), so as to provide a theoretic evidence for the clinical observation.
目的觀察頸動脈狹窄患者實施頸動脈内膜剝脫術手術前後血流動力學改變的規律,為臨床護理提供依據。
The effect of carotid endarterectomy in lowering the risk of stroke ipsilateral to severe atherosclerotic carotid-artery stenosis is offset by complications during or soon after surgery.
背景對于單側嚴重的頸動脈粥樣硬化性狹窄進行頸動脈内膜剝脫術來預防中風的效用正在被圍手術期的并發症所抵消。
Objective To investigate the application of carotid endarterectomy(CEA) in the treatment of stenosis and occlusion of carotid artery.
目的探讨應用頸動脈剝脫術治療頸動脈狹窄和閉塞。
ResultSurgery was successful in all the patients. We performed carotid endarterectomy on 111 cases and other operations on 9 cases.
結果手術均獲成功,其中頸動脈内膜切除術111例,其他術式9例。
Objective To evaluate the beneficial effects of microsurgical carotid endarterectomy.
目的評估顯微頸動脈内膜切除的效果。
For many years carotid endarterectomy has been the established gold standard treatment for patients with significant carotid disease.
許多年來,頸動脈内模剝脫術已經作為治療嚴重頸動脈疾病的“金标準”。
Background and Purpose—The benefit of carotid endarterectomy is heavily influenced by the risk of perioperative death or stroke.
背景與目的:圍手術期死亡或卒中的風險嚴重影響頸動脈内膜切除術的獲益。
Objective:Carotid endarterectomy(CEA)has been evaluated in improving symptoms of cerebral ischemic syndromes.
目的:觀察頸動脈内膜剝脫術(CEA)對腦缺血症狀的改善作用。
Carotid endarterectomy (CEA) is the accepted standard therapy for prevention of stroke in patients with high-grade symptomatic and asymptomatic carotid stenoses.
頸動脈内膜切除術(CEA)是公認的預防有症狀或無症狀重度頸動脈狹窄患者卒中的标準治療方法。
To prevent and treat ischemic stroke with carotid endarterectomy has become a routine surgical option, and its efficacy has been confirmed.
應用頸動脈内膜切除術預防和治療缺血性卒中已成為一種常規的手術選擇,其療效已得到明确肯定。
Objective To observe the change of contralateral internal carotid artery after carotid endarterectomy (CEA).
目的觀察頸動脈内膜切除術(CEA)後對側頸内動脈變化情況。
Objective:To study the methods and skill of carotid endarterectomy (CEA) for reducing the stroke incidence perioperatively and restenosis of carotid artery after operation.
目的:探讨頸動脈内膜切除剝脫術(CEA)的手術方法及技巧,以降低圍手術期腦卒中發生率及術後再狹窄發生率。
Objective To investigate the therapeutic effect of carotid endarterectomy for internal carotid artery occlusion.
目的探讨頸動脈血運重建治療完全性頸内動脈閉塞的臨床療效。
Conclusion Carotid endarterectomy is a safe and effective way for treating carotid stenosis.
結論内膜切除是頸動脈狹窄安全有效的治療方法。
Objective:To discuss that the main point of nursing and what to be careful in caring cervical stenosis patients with carotid endarterectomy.
目的:探讨頸動脈内膜切除術病人術前、術後的護理要點和注意事項。
ObjectiveTo evaluate the application of carotid endarterectomy (CEA) in the treatment of patients with bilateral moderate to severe carotid stenosis.
目的評估頸動脈内膜剝脫術(CEA)在雙側頸動脈中、重度狹窄患者治療中的應用情況。
Given these facts, some people with false-positive test results may receive unnecessary invasive carotid endarterectomy surgery, according to the USPSTF.
USPSTF指出:“提供這些事實依據,一些患者的假陽性結果可能會導緻接受不必要的有創性頸動脈剝脫術治療”。
This study developed a multivariable model predicting the risk of death or stroke within 30 days of carotid endarterectomy.
該研究以多變量模型預測的頸動脈内膜切除術30天内死亡或卒中的風險。
Objective To assess the effectiveness of carotid endarterectomy(CEA) in the surgical treatment of stenosis of carotid artery.
目的研究頸動脈内膜剝脫術和成形術對頸動脈狹窄患者的治療結果。
Association of intracellular pro- and anti-inflammatory cytokines in peripheral blood with the clinical or ultrasound indications for carotid endarterectomy in patients with carotid atherosclerosis.
頸動脈粥樣硬化病變的病人頸動脈内膜剝離術後外周血中促炎症因子和抑炎因子的關系。
Objective To sum up our experience of carotid endarterectomy (CEA).
目的總結我們行頸動脈内膜剝脫術的經驗。
Objective To summarize the experience for performing the carotid endarterectomy on 26 patients.
目的總結26例頸動脈内膜剝脫術的經驗。
Carotid endarterectomy may improve cognitive function.
頸動脈膜除改善。
But restenosis after carotid endarterectomy has become a key factor influencing the efficacy of operation.
但内膜切除術後發生的再狹窄現已成為影響手術療效的關鍵因素。
Objective To evaluate the early and midterm outcomes of carotid endarterectomy (CEA) compared with carotid stenting (CAS) in patients with carotid artery stenosis.
目的評價頸動脈内膜剝脫術和頸動脈支架治療頸動脈狹窄的近期和中期臨床效果。
The goal of the trial was to evaluate treatment with carotid artery stenting compared with carotid endarterectomy among patients with recently symptomatic carotid artery stenosis.
本試驗的目的是比較對近期患有症狀性頸動脈狹窄的患者實施頸動脈支架療法和頸動脈内膜切除術的療效。
Conclusions Shunting should be used to reduce the incidence of postoperative stroke during carotid endarterectomy with contralateral severe stenosis or occlusion.
結論合并手術對側頸動脈重度狹窄或閉塞的患者采取術中轉流能夠降低術後卒中的發生率;
頸動脈内膜切除術(carotid endarterectomy)是一種預防中風的外科手術,主要用于治療頸動脈狹窄或阻塞。頸動脈是位于頸部兩側、向大腦供血的主要血管。當血管内壁因脂質沉積形成斑塊(動脈粥樣硬化)時,可能引發血流減少或斑塊脫落導緻腦卒中。該手術通過切開頸動脈、剝離并清除斑塊,恢複血管通暢度。
手術適應症
患者需符合特定條件,例如:
手術過程與風險
手術通常在全身麻醉下進行,耗時約2小時。術後可能出現短暫性神經損傷、傷口感染或血管再狹窄。根據《新英格蘭醫學雜志》(The New England Journal of Medicine)的臨床研究,經驗豐富的外科醫生操作下,嚴重并發症發生率低于3%。
權威醫學參考
該手術的标準指南由美國國立神經疾病與卒中研究所(NINDS)和梅奧診所(Mayo Clinic)聯合制定,強調術前評估需包括神經學檢查與影像學診斷。
Carotid endarterectomy(頸動脈内膜切除術) 是治療頸動脈狹窄的常見外科手術,主要用于預防中風。以下是詳細解釋:
Carotid(頸動脈)
指頸部兩側向大腦供血的主要動脈(頸總動脈及其分支頸内動脈)。當這些動脈因斑塊沉積狹窄時,可能引發腦缺血或中風。
Endarterectomy(動脈内膜切除術)
由前綴 endo-(内部)、artery(動脈)和 -ectomy(切除術)組成,指通過手術切除動脈内膜上的粥樣硬化斑塊,恢複血流。
如需更專業的醫學指南,可參考權威臨床數據庫或血管外科文獻。
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