頸動脈狹窄之處理原則（上）

黃竣暘 ； 施俊哲

《臨床醫學月刊》 81卷5期 (2018/05) Pp. 261-263

https://doi.org/10.6666/ClinMed.201805_81(5).0045

摘要

頸動脈狹窄和日後中風的機率有極大的相關性，由於狹窄的頸動脈一方面會使得同側腦部血流不足，另一方面內膜可能會有剝落的血塊造成腦部梗塞，兩者都會造成範圍及程度不等的中風。然而，針對頸動脈狹窄實行治療手術的術中中風率也有一定的比率。因此，病患在何時需要手術介入，以及手術上的選擇都是目前治療方針上的討論重點。

關鍵字

頸動脈狹窄 ； 頸動脈內膜剝除術(carotid endarterectomy, CEA) ； 頸動脈支架術(carotid artery stenting, CAS) ； 中風

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