摘要： 目的 分析复合手术技术在复杂颈动脉狭窄或闭塞性疾病中的应用，探讨其临床意义。方法 回顾分析12 例因颈动脉闭塞和颈动脉串联性病变施行复合手术患者之临床资料，初步分析手术安全性和有效性。结果 8 例颈动脉闭塞患者，7 例实现血管再通；4 例颈动脉串联性病变患者，均实现血管再通。术后无一例发生脑卒中或死亡。结论 采用复合手术技术治疗颈动脉闭塞和串联性病变疗效安全可靠，值得在临床推荐开展。

关键词: 颈动脉狭窄, 动脉闭塞性疾病, 颈动脉内膜切除术, 支架, 手术后并发症, 脑血管造影术

Abstract: Objective  To analyze the application of hybrid treatment for complicated carotid artery stenosis and occlusion and explore its clinical significance.  Methods The clinical data of 12 patients, including 8 carotid artery occlusion patients and 4 multilevel carotid artery stenosis patients, who received hybrid treatment during the surgery were analyzed, and the efficacy and safety of combined surgical techniques were explored.  Results  For 8 carotid artery occlusion patients, 7 procedures were successful. For 4 multilevel carotid artery stenosis patients, all procedures were successful. They underwent both carotid endartertectomy (CEA) and common carotid artery angioplasty during the surgery. There was no neurological morbidity or mortality after operation. Conclusions  Intraoperative angioplasty combined with CEA (hybrid treatment) is an effective and safe method for carotid artery occlusion or multilevel carotid artery stenosis.

Key words: Carotid stenosis, Arterial occlusive diseases, Endarterectomy, carotid, Stents, Postoperative complications, Cerebral angiography