颈动脉体瘤的诊断与外科治疗  

Diagnosis and surgical treatment of carotid body tumor

作　　者：俞志维[1] 唐瞻贵[1] 翦新春[1] 陈新群[1] 苏彤[1] 粟红兵[1] 

机构地区：[1]湖南长沙中南大学湘雅医院口腔颌面外科,410078

出　　处：《实用口腔医学杂志》2005年第4期547-549,共3页Journal of Practical Stomatology

基　　金：湖南省卫生厅基金资助;项目编号:B2004-010

摘　　要：目的:探讨颈动脉体瘤的临床诊断与外科治疗方法。方法:复习10例颈动脉体瘤的诊断与外科治疗情况。结果:5例行B超检查,无确诊病例;8例行彩色多普勒超声检查,6例确诊;6例行CT检查,3例确诊;3例行颈动脉造影检查,均确诊为颈动脉体瘤;2例行MRI检查,1例确诊。7例行外科手术治疗,1例于术后第4天死于脑梗死。7例术后病理报告均证实为颈动脉体瘤。结论:综合性检测有利于术前确诊,彩色多普勒超声和颈动脉造影意义重大;手术方法的选择应根据术中的实际情况来决定。Objective:To investigate the diagnosis and therapy approaches of carotid body tumor (CBT).Method:Retrospective study of diagnosis and treatment of 10 patients with CBT was conducted.Results:Five patients were examined by B ultrasonic technique and all were not diagnosed;eight were examined by color Doppler flow imaging, six of whom were diagnosed as with CBT;six were examined by CT, three of whom were diagnosed;three was examined by digital subtraction angiography(DSA) and all were diagnosed;two were examined by magnetic resonance imaging(MRI) and one was diagnosed.There was no patient died during operation.One patient died 4 days after operation because of anoxemia in brain. Pathological examination after operation confirmed the diagnosis.Conclusion:Synthetical examinations should be taken to confirm the diagnosis of CBT. Color Doppler flow imaging and DSA are significant. Selection of operation methods should be based on the practice.

关 键 词：颈动脉体瘤 外科治疗 影像学检查 

分 类 号：R739.91[医药卫生—肿瘤]