摘要
目的评价介入放射学在颈部副神经节瘤的术前应用。方法分析13例颈部副神经节瘤病例,对6例副神经节瘤行术前栓塞,对9例行球囊阻断试验,了解Willis环功能。结果6例颈部副神经节瘤术前造影及部分供血动脉栓塞均获成功,术中出血明显减少,9例颈动脉阻断(测定Willis环功能)试验全部成功,在术中施行颈动脉结扎术,术中及术后随访未出现新的神经系统症状或体征。结论颈部的副神经节瘤术前栓塞及术前球囊阻断试验安全、可靠,可作为常规术前准备。
Objective To evaluate the role of presurgical intervetional management for paragangliomas. Methods 13 patients （10 males and 3 females） with mean age of 45 years old were enroled. Preoperative feeding artery embolization for paragangliomas was carried out for 6 cases and the temporary balloon occlusive test of carotid artery was performed in 9 cases with DSA observation of the collateral circulation of Willis circle. Results The interventional procedures for preoperative embolization of feeding arteries and the temporary balloon occlusive test of carotid arteries in paragangliomas were successful. After the procedure, paragangliomas showed reduction in vascularization with less bleeding during surgery and adequate collateral circulation of Willis circle was observed with DSA in 9 eases with no recurrences or permanent neurologic deficit after carotid manipulation in surgery and follow up period. Conclusion Preoperative embolization for paragangliomas and temporary balloon occlusive test of carotid artery are safe, reliable and advisable to be acknowledged routinely. （J Intervent Radiol, 2006, 15： 515-517）
出处
《介入放射学杂志》
CSCD
2006年第9期515-517,共3页
Journal of Interventional Radiology
关键词
副神经节瘤
栓塞
球囊阻断试验
Paragangliomas
Embolization
Balloon occlusive test
