摘要
目的 探讨颈动脉体瘤的临床诊断及术前检查经验.方法 回顾性分析2003-2013年24例颈动脉体瘤患者的病历资料,分析其临床特点、影像学检查、治疗及预后情况.24例颈动脉体瘤患者,男5例,女19例,其中良性23例,恶性1例;单侧17例,双侧7例.结果 24例颈动脉体瘤患者中19例行数字减影血管造影检查,同时接受暂时性球囊阻断试验,阳性者1例.23例良性者行手术治疗,1例恶性者仅行探查活检术,3侧行颈内动脉及颈外动脉在内的瘤体切除术,未行颈动脉重建,术后患者无死亡,没有出现中枢神经系统损伤.23例良性者随访6 ～ 122个月,中位随访时间75个月;恶性患者术后6个月死亡.结论 数字减影血管造影与暂时性球囊阻断试验可靠实用,可以作为颈动脉体瘤常规术前检查方法来判断颈动脉结扎的可靠性.
Objective To study the clinical diagnosis and preoperative management of carotid body tumor.Methods A total of 24 cases with carotid body tumors underwent surgery from 2003 to 2013 were reviewed.The clinical and imaging features,treatment and prognosis were retrospectively evaluated.Five of the 24 patients were males and 19 were females.Twenty-three cases were benign and one case was malignant.Seven of the 24 patients had bilateral tumors.Results Nineteen of twenty-four patients underwent digital subtraction angiography （DSA） and temporary balloon occlusion （TBO） test,and one case of them was positive in the test.Twenty-three benign case were treated with operation.The malignant one treat with biopsy.Three cases underwent resection of tumors with both the internal and external carotid arteries without carotid reconstruction,and none of the three patients died or presented with hemiplegia after operation.Twenty-three benign cases were followed up for 6-122 months,the median was 75 months.The malignant patient died 6 months after operation.Conclusion TBO and DSA are reliable and practical methods to determine the safety of carotid ligation and can be used as routine preoperative examinations.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2015年第1期25-27,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
颈动脉体瘤
血管造影术
数字减影
气囊阻塞
Carotid body tumor
Angiography, digital substration
Balloon occlusion
