摘要
我科１９８８年１１月至１９９７年１０月９年间共收治颈动脉体瘤患者２６例（２７个），其中１１例在外院被误诊，入院后２６例均行Ｂ超检查，其中１８例行颈动脉造影检查。２６例中行低温（３０℃～３２℃）麻醉１７例，应用Ｓｈｕｎｔ９例（１０个）；２７个肿瘤均一期切除，其中行单纯瘤体剥除８例（９个），瘤体连同颈外动脉一同切除３例；瘤体连同部分颈内动脉、颈外动脉及颈总动脉一并切除后行颈动脉搭桥重建术１１例，颈总动脉颈内动脉吻合２例，颈内动脉结扎术２例。结果除１例术后发生偏瘫外，其余效果均良好。笔者认为，仔细的体检，结合超声波和颈动脉造影检查是诊断颈动脉体瘤，防止误诊的重要方法；
Twenty six cases with carotid body tumours (27 tumors) were operaterated on from November,1988 to October, 1997. Eleven of the 26 cases were misdiagnosed in other hospital. Twenty six cases experienced B mode ultrasonic scanning and 18 carotid arteriography. Seventeen cases underwent general hypothermic anesthesia (30℃-32℃) and 9 general carotid internal carotid shunt. Eight cases (9 tumors) experienced simple excision of tumor, 3 resection of the tumor with external carotid, 11 excision of the tumor with internal, external and general carotid and carotid reconstructing. Two cases underwent anestomosis of general carotid with internal carotid and 2 ligation of the internal carotid. All patients showed good results but one complicated with hemiplegia. The authors consider that misdiagnosis can be avoided with careful physical examination, B mode ultrasonic scanning and arteriography, and hypothermic general anesthesia and intraoperative general carotid internal carotid shunt were important measures for the protection of brain.
出处
《中国普外基础与临床杂志》
CAS
1999年第1期36-37,共2页
Chinese Journal of Bases and Clinics In General Surgery
关键词
颈动脉体瘤
诊断
治疗
颈部肿瘤
Carotid body tumor Carotid reconstructing Intraoperative protection of brain
