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目的：探讨颈动脉硬化内膜剥脱术在预防脑梗死方面的临床疗效。方法：选择我院自2012年1月至2013年1月收治的84例颈动脉粥样硬化性狭窄或闭塞患者的临床资料，全部患者均给予颈动脉硬化内膜剥脱术治疗。结果：66例患者行单侧颈动脉硬化斑块及内膜剥脱术，18例双侧病变患者选择狭窄程度较重的一侧手术治疗；颈动脉完全闭塞患者3例部分再通，3例完全再通，1例未通再通；全组未发现围手术期脑梗塞死亡病例，但1例呈植物状态，1例于术后5个月死亡。结论：采用颈动脉硬化内膜剥脱术可预防患者脑梗死的发生，提高患者生存质量。“,”objective:to study the intima carotid arteriosclerosis stripped in the prevention of cerebral infarction clinical curative ef ect.Methods:from January 2012 to January 2013,84 cases of carotid artery atherosclerotic stenosis or occlusion in patients with clinical data,al patients were given for the treatment of carotid artery sclerosis lining stripped.Results:66 cases of pa-tients with unilateral carotid atherosclerosis plaque and lining peeling,18 patients with bilateral lesions choose stenosis degree heavier on one side of the operation;3 patients with carotid artery occlusion partial recanalization,3 cases of complete recanalization,1 case was not tong recanalization;Whole group found no perioperative deaths from cerebral infarction,but 1 case in vegeta-tive state and 1 case died 5 months postoperatively.Conclusion:the carotid atherosclerosis lining peeling surgery can prevent the occurrence of cerebral infarction patients,improve patient quality of life.