单中心经验评价颈动脉内膜切除术术后预后。

Murat Zaimoglu, Baran Can Alpergin, Emre Bahir Mete, Ozgur Orhan, Omer Mert Ozpiskin, Melih Bozkurt, Umit Eroglu
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引用次数: 0

摘要

目的:缺血性脑卒中仍然是世界范围内死亡和残疾的主要原因之一,颈动脉狭窄是非心源性缺血性脑卒中的主要病因。颈动脉狭窄的慢性炎症过程和促炎状态似乎是颈动脉闭塞最重要的潜在因素。颈动脉狭窄的治疗除了药物治疗和颈动脉支架发育不良(CAS)外,颈动脉内膜切除术(CEA)是颈动脉狭窄的主要手术治疗方法,其预后是我们研究的主要课题。材料和方法:作为一项回顾性单中心研究,我们测量了全身免疫炎症指数(SII)和其他全身炎症参数,以估计CEA患者的死亡率和发病率。这些参数包括术前常规血液学检查(如CBC)中包含的炎症标志物。结果:对收集的72例患者的资料进行分析,结果显示,不同临床病因患者的炎症指标有显著差异。结论:术前常规血液学参数计算炎性参数是预测CEA患者死亡率/发病率的重要参数。
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Evaluation of Postoperative Prognosis on Carotid Endarterectomy: Single Center Experience.

Aim: To determine the prognostic value of routine hematological indices in patients undergoing carotid endarterectomy (CEA).

Material and methods: As a retrospective single center study, we measured the systemic immune inflammation index (SII) and other systemic inflammatory parameters to estimate the morbidity and mortality of patients undergoing CEA. These parameters include inflammatory markers which are included in routine preoperative haematologic tests like complete blood count (CBC).

Results: After the analysis of the collected datas from 72 patients, the results showed that inflammatory indices were significantly different in patients with different clinical courses.

Conclusion: Inflammatory parameters calculated from routine preoperative hematologic parameters proved to be important predictive parameters that can be used in morbidity/mortality estimation of patients scheduled for CEA.

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