颈动脉体瘤的手术治疗及围手术期处理  

Surgical treatment and perioperative management of carotid body tumors

作　　者：陈智勇[1] 何明长[1] 杨爱国[1] 何宁[1] 

机构地区：[1]解放军第一七五医院普通外科,福建漳州363000

出　　处：《中国普通外科杂志》2010年第6期638-641,共4页China Journal of General Surgery

摘　　要：目的探讨颈动脉体瘤手术及围手术期处理方法。方法 15例颈动脉体瘤患者均给予充分的围手术期处理后行手术治疗。结果 15例中6例行单纯肿瘤剥离切除,7列行肿瘤及颈外动脉切除,2例行肿瘤及颈总动脉交叉处切除,颈总与颈内动脉重建。手术顺利,无手术死亡者。术后随访1～3年,平均15.3个月,所有患者手术切口一期愈合,肿瘤压迫症状消失,其中2例术后头痛3个月,经对症处理后头痛好转,1例术后2d天出现脑梗死,1例出现舌下神经损伤,经治疗后症状缓解。术后肿瘤无复发。结论完善的围手术期处理可提高颈动脉体瘤切除手术的疗效、增加手术的安全性、降低手术的并发症。Objective To explore the surgical treatment and perioperative management of carotid body tumors.Methods Fifteen patients with carotid body tumor were operated upon after appropriate perioperative management.Results Among the 15 cases,6 underwent simple tumor excision,7 had co-resection of carotid body tumor and carotid artery,and 2 cases had arterial anastomosis of common carotid artery and internal carotid artery after co-resection of carotid body tumor.There was no mortality after operation in this series.All patients were followed up from 1 year to 3 years （average,15.3months）.Operative incisions healed by primary intention.The pressure symptoms of carotid body tumor disappeared after operation,but two patients had temporary headache for 3months,and one patient died of cerebral infarction.Injury of hypoglossal nerve occurred in one patient but it recovered after treatment.There were no recurrences of carotid body tumor after operation.Conclusions Adequate perioperative management can improve the effect and safety of operation,and decrease operative complications of patients with carotid body tumor.

关 键 词：颈动脉体瘤/外科学 围手术期 

分 类 号：R653.4[医药卫生—外科学]