Abstract: In this article, the history of surgical treatment for occlusive carotid artery diseases is briefly reviewed. It is emphasized that, after the results of large cohort, multicenter, randomized clinical trials, including North American Symptomatic Carotid Endarterectomy Trial (NASCET) and European Carotid Surgery Trial (ECST), were reported in 1991, the important role of carotid endarterectomy (CEA) for the surgical treatment of carotid atherosclerosis had already been confirmed. Although it has a late start in China, CEA has a bright and promising future.

Key words: Arterial occlusive diseases, Carotid artery diseases, Endarterectomy, carotid, Review

摘要： 本文简单回顾了颈动脉闭塞性疾病的外科治疗历史。特别指出，自1991 年北美症状性颈动脉内膜切除术试验和欧洲颈动脉外科手术试验等多中心大规模随机对照临床试验结果公布后，颈动脉内膜切除术在颈动脉粥样硬化性疾病治疗中的地位已毋庸置疑。该项外科手术技术虽然在中国起步较晚，但其发展前景良好。

关键词: 动脉闭塞性疾病, 颈动脉疾病, 颈动脉内膜切除术, 综述