目的    探讨常规不使用颈动脉补片行颈动脉内膜剥脱术（carotid endertarectomy，CEA）对术后颈动脉近、远期再狭窄的影响。方法    回顾性分析2005年7月至2012年12月郑州大学第五附属医院收治的87例颈动脉粥样硬化狭窄病人临床资料，行颈动脉内膜剥脱术解除狭窄，术中常规不使用补片成形术缝合动脉血管。围手术期及术后2年、5年随访复查，行颈动脉彩色多普勒血流显像（color doppler flow imaging，CDFI）或CT血管成像（CTA）检查颈动脉再狭窄率并评估全身情况。结果    全部手术病例均获成功，术后均未发现早期缩窄性颈动脉再狭窄。随访2年、5年症状性颈动脉再狭窄发生率分别为1.1%、3.3%；2年、5年无症状颈动脉再狭窄发生率分别为2.2%、5.4%。结论    常规不使用颈动脉补片行CEA可有效提高手术安全性及降低术后并发症发生率，而且并不能肯定增加术后近、远期再狭窄发生率。

Carotid endarterectomy without carotid patch：A therapeutic effect analysis of 87 cases        WANG Lin, WANG Bing, WU Fei, et al.  Department of Vascular Surgery, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052，China
Corresponding author: WANG Bing, E-mail: hnxgwk@126.com
Abstract    Objective    To investigate the short-long term effect of carotid atherosclerotic stenosis (CASS) patients performed carotid endertarectomy (CEA) routinely without carotid patch. Methods    The clinical data of 87 cases of carotid artery stenosis underwent CEA routinely without carotid patch from July 2005 to December 2012 in the Fifth Affiliated Hospital of Zhengzhou University were analyzed retrospectively. The carotid artery restenosis and systemic conditions of patients were evaluated by color doppler flow imaging (CDFI) or CTA around the time of surgery and after 2 and 5 years follow-up. Results    The success rate of surgical cases was 100%. No constrictive carotid artery restenosis was found around the time of surgery. The rate of symptomatic and asymptomatic carotid artery restenosis was 1.1% & 3.3% and 2.2% & 5.4% after 2 and 5 years follow-up respectively. Conclusion    CEA without carotid patch can improve the safety of procedure and reduce the rate of postoperative complication effectively, and cannot be sure to increase the rate of carotid artery restenosis in short-long term follow-up.