目的：探讨开放手术治疗椎动脉闭塞性病变的疗效。方法：回顾性分析2013—2014 年收治的7 例椎动脉闭塞性病变患者资料，患者分别行动脉旁路转流术或动脉内膜剥脱术等，根据术后复查、随访情况评估手术疗效。结果：全部手术患者症状均得到缓解，顺利出院，手术技术成功率100%。围术期无明显并发症发生，术后复查椎动脉血流通畅，近期通畅率100%，术后2 年内无明显头晕等症状复发。结论：对于椎动脉闭塞性病变，手术治疗可取得良好效果，术后通畅率较高。
Efficacy analysis of surgical treatment for vertebral artery occlusion
Objective: To investigate the efficacy of open surgery for vertebral artery occlusive disease. Methods: The clinical data of 7 patients with vertebral artery occlusion admitted between 2013 and 2014 were retrospectively analyzed. All patients underwent open surgical procedures such as artery bypass operation or arterial endarterectomy, and the efficacy was evaluated according to the results of postoperative examinations and follow-up interview. Results: The symptoms were improved in all cases after surgery and then they were discharged. The surgical success rate was 100%. No perioperative complications occurred and postoperative examinations showed good blood flow in the vertebral artery. The short-term patency rate was 100%, and no recurrence of symptoms such as apparent vertigo occurred within 2-year follow up. Conclusion: Open surgery has significant efficacy in treatment of vertebral artery occlusive disease, with a higher postoperative patency rate.