颈动脉体瘤68例报告  

Carotid Body Tumor-Report of 68 Cases

作　　者：陈斌[1] 王玉琦[1] 陈福真[1] 符伟国[1] 叶建荣[1] 

机构地区：[1]上海医科大学附属中山医院外科,200032

出　　处：《外科理论与实践》1998年第4期207-209,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨颈动脉体瘤外科手术的经验.方法:总结1962年至1998年收治68例颈动脉体瘤,其中34例(50%)行单纯瘤体剥除,13例(19.1%)行瘤体连同包绕的颈外动脉一并切除,21例(30.9%)行瘤体及包裹的颈内动脉、颈总动脉分叉切除,在这21例中行颈内动脉重建的有18例,颈总动脉或颈内动脉结扎的有3例.结果:手术死亡2例,死亡率为2.9%.术后发生脑梗塞4例.术后并发症中以神经麻痹最多见,共有26例,其中舌下神经15例,迷走神经主干7例,迷走神经分支如咽支、喉上神经等9例,面神经下颌支1例,交感神经8例.结论:颈动脉体瘤因其解剖上的特殊性,使手术有一定的难度.随着手术技术和麻醉方法的改进,颈动脉体瘤手术变得更安全,但术后神经损伤的并发症仍较难控制.Objective: To report the experience in the treatment of carotid body tumor. Methods: From 1962 to 1998, 68 patients(32 male and 36 female) with carotid body tumor were treated. Therty-four patients (50%) underwent radical excision of the tumor, of which 13 tumors(19.1%) were resected with the external carotid arteries(ECA), 21(30.9%) were removed with the internal carotid arteries(ICA) or the carotid bifurcations. Reconstructions of the ICA was carried out in all but 3 cases whose ICA or common carotid arteries(CCA) had to be ligated. Results: Two patients died peroperatively and the overall operative mortality was 2.9%. Four patients had cerebrovascular accidents. Cranial nerve injury occurred in 26 cases(39.4%) including hypoglossal N(15), the trunk of vagus(7), the branch of vagus(9) such as pharyngal N or superior laryngeal N, the marginal mandibular branch of facial N(l case). Horner's syndrome occurred in 8 cases. Conclusions: Improvement in surgical and anaesthesia has rendered safer the operative treatment of the carotid body tumor, but the avoidance of cranial nerve injuries remains much to be desired.

关 键 词：颈动脉瘤 外科手术 诊断 

分 类 号：R739.91[医药卫生—肿瘤]