摘要
目的:探讨颈动脉体瘤的临床特点、诊断和治疗方法,以利于提高诊断和治疗水平。方法:回顾21例(23侧)颈动脉体瘤患者的临床资料,包括术前检查、手术方法和要点及术后处理。结果:DSA和MRI对颈动脉体瘤的确诊率达100%。17例(19侧)接受手术治疗,其中动脉外膜下分离单纯颈动脉体瘤切除术8侧,肿瘤并颈外动脉节段切除术9侧,颈动脉体瘤和颈总动脉分叉并颈内外动脉节段切除及颈动脉结扎1侧,颈动脉体瘤和颈动脉切除及人工血管重建颈动脉1侧。术后1例患者术前药物治疗未控制的室性心律失常自愈;1例出现声嘶,1周后完全恢复;1例颈动脉切除未重建的患者,术后出现经常性头痛,3个月后逐渐消失;其余患者无明显并发症。结论:DSA和MRI是目前诊断颈动脉体瘤的最佳手段。外科切除是首选的治疗措施,肿瘤和颈总动脉分叉及颈内动脉节段切除后,人工血管重建颈动脉是一种安全、有效的治疗方法。
Objective：To enhance the cure rate and lower the complication rate and the mortality rate through summarizing the clinical features and experiences in diagnosis and therapy of carotid body tumor （CBT）. Method： Retrospectively analyzed the clinical data of 21 cases （23 sides） of CBT from 1995 ～ 2005 occurring in our hospital. Result：The accurate diagnosis rates by using digital subtraction angiography （DSA） and magnetic resonance imaging （MRI） were 100%. Seventeen cases （19 sides） accepted surgical operation with different kinds of procedures. The tumors of 8 cases were simplely isolated from the carotid artery. Both the tumor and the external carotid artery were resected in 9 cases. One case underwent resection of both the internal and external carotid artery and the tumor without carotid reconstruction. One case underwent resection of the internal, external carotid artery and the tumor with reconstruction of the internal carotid artery. No operative mortality was observed. The ventricular arrhythmia which had not been controlled pre-operation occurred in 1 case who was finally self-cured. One case had hoarseness and completely recovered in one week, and 1 case without carotid reconstruction had a frequent headache and gradually recovered in 3 months. The others had no complications. Conclusion：DSA and MRI are the best methods for diagnosing CBT. Surgery is the first choice concerning the treatment of CBT. Accurate preoperative evaluation, correct therapeutic decision exquisite vascular surgical techniques can help to significantly decrease, even avoid the complications.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第9期400-402,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
中南大学博士后基金资助
关键词
颈动脉体瘤
血管造影术
数字减影
磁共振成像
外科手术
颈动脉重建
Carotid body tumor
Angiography,digital subtraction
Magnetic resonance imaging
Operation, surgical
Carotid reconstruction
