摘要
目的 :探讨颈动脉体瘤 (Carotidbodytumor,CBT)的诊断和治疗经验。方法 :2 6例患者 ,分别血管多普勒B超检测及单侧血管造影术或数字减影血管造影术 (Digitalsubtrasoundangiography,DSA) ,明确诊断。术前均行颈动脉压迫试验。手术治疗 ,其中瘤体剥离式切除 9例 ;颈外动脉同时切除 15例 ;颈内动脉部分切除 ,颈总、颈内人造血管搭桥术 1例 ;颈总动脉分叉处切除、颈内外动脉吻合 1例。结果 :除 2例合并脑部并发症并治愈 ,无 1例死亡。结论 :DSA对CBT的诊断最具权威性 ,术前颈动脉压迫训练 ,正确的术式选择是减少脑部并发症保证手术成功的关键。
Objective:To approach the experiences on diagnosis and treatment of carotid body tumour(CBT). Methods: [WT5BZ]26 CBT cases were treated with operation,all of them were underwent angio-Doppler test or single-side angiography or DSA diagnosis and Mata's test before operation. Most cases had common carotid artery blocked under local anesthesia at first and then were operated under general anesthesia. 9 cases received tumour body stripping excision. 15 receiver of external carotid artery resection, one had a part of internal carotid artery resected and substituted by artificial vessel, the last one had the bifurcation of common carotid artery removed and received an anastomosis between internal and external arteries. Results:All cases were cured. Two patients had combined with cerebral complications, which were cured later. Conclusion: DSA is the most authoritative diagnosis method to define CBT. Pressure exercise on carotid artery before operation and correct choice of operation-style are keys to ensure the success of treatment.
出处
《西北国防医学杂志》
CAS
2003年第6期431-433,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
颈动脉体瘤
颈动脉造影
手术
并发症
Carotid body tumour(CBT)
Carotid artery angiography
Operation
Complication
