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作 者:王新春[1] 吴展元[1] 陶泽璋[1] 马哲兰[1]
机构地区:[1]湖北医科大学附属第一医院耳鼻咽喉科,武汉430060
出 处:《临床耳鼻咽喉科杂志》1997年第3期109-111,共3页Journal of Clinical Otorhinolaryngology
摘 要:报告诊治4例颈动脉体瘤的体会。认为彩色Doppler超声(彩超)检查和颈动脉造影,尤其是数字减影血管造影(DSA)对诊断颈动脉体瘤具有较高的价值。本病的唯一治疗方法是手术;术前应行颈总动脉压迫锻炼,为手术创造条件;术式的选择主要根据术前彩超和DSA结果,以及术中所见肿瘤与颈动脉的关系而定。Four cases of carotid body tumor are reported,and the diagnosis and treatment are also discussed. We consider that color Doppler flow image and carotid angiography,especially digi tal subtraction angiography,are of great value to the diagnosis of carotid body tumor. In addition,the collateral cerebral cross-flow was promoted preoperatively with the use of compressing exercis es of the carotid artery,and controlled by transcranial Doppler. This means to provide the basis for choosing the operative opportunity and for managing the carotid artery. The operative method was dependent on preoperative color Doppler flow image,carotid angiography,and relationship between the tumor and the carotid artery during operation.
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