摘要
作者收集了1958～1988年国内文献报道的颈动脉体瘤,共183例,术前误诊率54.0%,行167例次手术,包括:肿瘤剥除术89例次;肿瘤切除、颈总动脉结扎术40例次;肿瘤切除、自体静脉或人造血管旁路移植术33例次;肿瘤切除、颈总动脉—颈内动脉吻合术5例次。手术死亡率4.9%。偏瘫发生率6.1%,术后经6个月～21年随访,局部复发和/或远处转移发生率8.2%,作者强调运用 CT、B 超、动脉造影等检查方法来提高术前诊断率.术前常规行 Matas 试验。提倡常温麻醉。手术以肿瘤剥除术和血管重建术为首选,而不主张颈动脉结扎术,以减少脑部并发症的发生.
One hundred and eighty-three cases of carotid body tumor reported in Chinese litera
ture from 1958 through 1988 are reviewed.The rate of preoperative misdiagnosis was
54%.Among the 183 cases 167 were treated surgically,with an operative mortality of 4.88% and postoperative paralysisemiplegia occurred in 6.1%.
The reliable preoperative diagnostic methods are CT,ultrasonography and angiography.
Complete tumor excision with or without vascular reconstruction is the treatment of
choice.
出处
《上海医学》
CAS
CSCD
北大核心
1991年第1期10-14,共5页
Shanghai Medical Journal
