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改良式颈动脉内膜剥脱术治疗颈动脉狭窄:附2例报道
引用本文:刘正军,陆京伯,刘灏,林智琪,黄显莹,万恒,符方勇,黄水传.改良式颈动脉内膜剥脱术治疗颈动脉狭窄:附2例报道[J].南方医科大学学报,2017,37(8).
作者姓名:刘正军  陆京伯  刘灏  林智琪  黄显莹  万恒  符方勇  黄水传
作者单位:南方医科大学南方医院血管外科,广东 广州,510515
摘    要:在传统颈动脉内膜剥脱术的基础上,我们通过两例病例报道来研究一种新型颈动脉内膜剥脱术,无需补片,改变颈动脉切口的方向以防颈内动脉再狭窄,2例患者术后恢复良好,无手术并发症.研究发现,与外翻式、补片式相比,改良式颈动脉内膜剥脱术既可防止再狭窄发生,又能缩短手术时间,具有明显可行性.

关 键 词:颈动脉狭窄  改良式颈动脉内膜剥脱术  再狭窄

Carotid artery stenosis treated with modified carotid endarterectomy:report of two cases
LIU Zhengjun,LU Jingbo,LIU Hao,LIN Zhiqi,HUANG Xianying,WAN Heng,FU Fangyong,HUANG Shuichuan.Carotid artery stenosis treated with modified carotid endarterectomy:report of two cases[J].Journal of Southern Medical University,2017,37(8).
Authors:LIU Zhengjun  LU Jingbo  LIU Hao  LIN Zhiqi  HUANG Xianying  WAN Heng  FU Fangyong  HUANG Shuichuan
Abstract:Based on standard carotid endarterectomy, we performed modified carotid endarterectomy in two cases of carotid artery stenosis by changing the direction of the carotid artery incision to avoid restenosis of the internal carotid artery without using a patch. The two patients recovered smoothly without any complications. Compared with eversion or patch endarterectomy, this modified carotid endarterectomy avoids restenosis of the carotid artery and shortens operation time.
Keywords:carotid artery stenosis  modified carotid endarterectomy  restenosis
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