(四川省南充市中心医院神经内科,四川,南充,637000)

    【摘要】目的：研究介入治疗法治疗颈动脉重度狭窄的疗效及安全性。方法 ：8F动脉鞘置入颈总动脉，预扩张球囊通过狭窄部位行预扩张，支架在导丝支撑下通过狭窄部位，回撤外鞘将支架释放。结果：支架定位准确，34例患者狭窄完全消失，30例狭窄程度减少90%以上，8例减少70%。结论：血管内支架成形术是治疗颈动脉狭窄安全而有效的方法。

    【关键词】介入治疗；支架成形术；颈动脉狭窄

    【中图分类号】R543.4【文献标识码】A【文章编号】1005-1074(2009)04-0113-01

    Endovascular interventional treatment for stenting of severe carotid stenosis

    Long Jifa

    (Nanchong town center hospital ，Nanchong，Sichuan ，637000)

    【Abstract】 Objective：To study the effect and safety of endovascular interventional treatment for stenting of severe carotid stenosis. Method Place the 8F carotid sheath in carotid, and expand stenosis by sacculus first, let bypass through the stenosis and released. Results：The stent is fixed accurately, carotid stenosis disappeared in 32 cases, 30 cases recoverd 90% and 8 cases recoverd more than 70%. Conclusion：Endovascular interventional is effective to treat carotid stenosis, but we need observe the safety about it.

    【Keywords】intercentional treatmentstentcarotid stenosis

    1临床资料

    1.1 一般资料72例颈内动脉狭窄患者中,男38例,女34例,年龄32～81岁,平均56岁 ......