颈动脉体瘤81例临床分析  

Clinical analysis of eighty-one patients with carotid body tumor

作　　者：李宏伟[1] 徐本义[2] 

机构地区：[1]新乡市第一人民医院肿瘤科,河南新乡453000 [2]天津肿瘤医院头颈科,天津300060

出　　处：《新乡医学院学报》2007年第4期408-409,共2页Journal of Xinxiang Medical University

摘　　要：目的探讨颈动脉体瘤(CBT)的诊断与治疗方法。方法81例CBT患者,42例采用单纯瘤体切除,24例行瘤体与颈内、外动脉一并切除,未做颈动脉重建;8例瘤体切除,同时行颈内动脉修补;5例行CBT摘除术,并颈内动脉吻合;2例行瘤体与颈内外动脉切除,同时行颈内动脉重建。结果81例术后随诊1～13 a,平均11 a;81例无手术死亡,72例肿瘤完全切除,预后良好;9例大部切除,其中3例死亡(1例死于心脏病,1例死于颅底转移,1例死于肺转移);其余患者最后1次随访均健在。术后发生脑卒中瘫痪1例,5例出现脑神经并发症,舌神经损伤25例。结论CBT应尽早手术治疗,根据肿瘤与颈动脉的关系选择适宜术式。Objective To investigate the diagnosis and treatment of carotid body tumor. Methods Among the 81 cases of carotid body tumor,42 cases underwent simple tumor resection ,24 cases underwent resection of both the internal and external carotid arterry and the tumor without carotid reconstruction ,8 cases were performed with tumor resection and internal carotid repairation ,5 cases were performed with tumor resection and internal carotid arterial anastomosis ;2 cases underwent resection of the internal and external carotid arterry and the tumor with internal carotid reconstruction. Results 81 cases were followed up for 1 ～ 13 years, average 11 years. All the patients didn＇t died during the operation, the tumors in 72 cases were resected completely, and the prognosis was good,the tumors in 9 cases were resected partly, and among these patients ,3 patients died of heart disease, the tumor metastasis to basilar region and lung;the others were still living when the last following-up. After operation, one case was paralytic,the cranial nerve complication occured in 5 cases,and the lingual nerve injury in 25 cases. Conclusion The patients with carotid body tumor should be operated as early as possible with suitable way selected according to the relation between the tumor and the carotid.

关 键 词：颈动脉体瘤 外科治疗 诊断 

分 类 号：R732.21[医药卫生—肿瘤]