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CEA两种不同手术切口的对比
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Abstract:
颈动脉狭窄(carotid artery stenosis, CAS)是导致脑卒中的常见病因之一，其中主要病因是动脉粥样硬化，约占90%以上，自20世纪90年代开始，颈动脉内膜剥脱术(Carotid Endarterectomy, CEA)即被视作治疗颈动脉狭窄、预防脑卒中的金标准。该手术较多采用经胸锁乳突肌前缘切口入路，该入路可充分显露颈动脉区，但术后切口处神经、血管损伤较为常见，切口的疤痕也给部分病人带来不同程度心理影响。近些年临床实践逐渐采用沿皮纹横切口，发现该切口并不影响手术安全性与有效性，还可减少术后疼痛与麻木，增加切口美观性。对比CEA两种不同切口，分析其术后并发症与远期生活质量的相关性。本文对CEA两种手术切口进行综述。
Carotid artery stenosis (CAS) is one of the common causes of stroke, and the main cause is atherosclerosis, accounting for more than 90%, and carotid endarterectomy (CEA) has been regarded as the gold standard for the treatment of carotid artery stenosis and stroke prevention since the 90s of the 20th century. The transsternocleidomastoid muscle anterior edge incision approach is mostly used in this operation, which can fully expose the carotid artery area, but nerve and blood vessel damage at the postoperative incision site is more common, and the scar of the incorporeality also brings varying degrees of psychological impact to some patients. In recent years, clinical practice has gradually adopted transverse incision along the striae, and it has been found that this incision does not affect the safety and effectiveness of surgery, and can also reduce postoperative pain and numbness, and increase the aesthetics of the incision. The correlation between two different incisions of CEA and long-term quality of life was analyzed. This article reviews two types of surgical incisions for CEA.
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