颈动脉狭窄治疗进展.doc

颈动脉狭窄治疗进展颈动脉狭窄治疗进展宋海综述路华,王进昆,杨智勇审校( 昆明医学院第一附属医院神经外科昆明 650032) 摘要颈动脉狭窄是缺血性卒中的主要病因之一, 治疗颈动脉狭窄能有效降低卒中风险以及卒中相关的死亡率。颈动脉内膜剥脱是治疗颈动脉狭窄的金标准,在预防卒中和死亡风险方面显示出比内科治疗明显的优势。早期研究表明:颈动脉支架植入是可行、安全、有效的治疗手段。然而对比内膜剥脱术和支架术的随机对照实验却并没有证明两种方法孰优孰劣。随着材料科学和介入技术的不断向前发展血管内治疗可能会体现出更好的安全性和有效性。关键字卒中;颈动脉狭窄;颈动脉支架术; 颈动脉内膜剥脱术 The development of treatment of Carotid Stenosis SONG hai,LU hua, ,WANG jin-kun, YANG zhi-yong (Department of Neurosurgery,the First Affiliated Hospital of Kunming Medical College Kunming Yunnan China 650032) Abstract Carotid stenosis is one of the major causes of ischemic stroke .Treatment of carotid stenosis can decrease the risk of stroke or stroke related deaths. Carotid endarterectomy is still the gold criteria treatment for Carotid stenosis, and has been shown to be superior to medical therapy in the prevention of stroke and death in patients with carotid stenosis . Initial studies indicate that carotid angioplasty and stenting is feasible, safe, and effective for caro tid , the results of randomised controlled paring carotid artery stenting ——————————————————————————————————作者简介宋海( 1981 年11 月~ ) ,男,贵州人,在读硕士,住院医师,从事神经外科临床 2 年。通讯作者杨智勇, **********@ with carotid endarterectomy are the development of material science and interventional technique, intravascular treatment may show the better efficacy and safety. Key words stroke; Carotid stenosis; carotid angiop