双侧巨大颈动脉体瘤的诊治  

Diagnosis and treatment of giant bilateral carotid body tumors

作　　者：曹罡[1] 郭婷[1] 杨震[1] 周长圣[2] 张森林[1] 董震[1] 孟昭业[1] 

机构地区：[1]南京军区南京总医院口腔科,南京医学博士210002 [2]南京军区南京总医院医学影像科,南京210002

出　　处：《医学研究生学报》2010年第8期822-826,共5页Journal of Medical Postgraduates

基　　金：国家自然科学基金(30271418);全军"十一.五"指令性课题(06Z017);南京军区南京总医院基金(2009Q021)

摘　　要：目的总结1例双侧复杂性巨大颈动脉体瘤(carotid body tumor,CBT)诊断、治疗的经验、教训。方法术前对1例双侧颈部巨大肿物的患者行双源CT检查,根据临床体征及影像学检查结果最终确定肿瘤为双侧CBT,并手术同期切除双侧瘤体。结果手术过程顺利,但术后患者出现暂时性呼吸、吞咽、发音困难等并发症,经对症处理后患者治愈出院。结论在手术治疗复杂CBT过程中,防治神经损伤是目前该疾病手术治疗中应进一步强调的主要问题之一。双侧CBT同期一次切除,并发症发生率高,风险大,最好分次手术。Objective This article reports the successful surgical management of a case of giant bilateral carotid body tumors（CBT）,and summarizes the experience in its diagnosis and treatment.Methods A case of suspected giant bilateral CBT was confirmed by clinical signs and dual source CT,and the tumors at both sides were resected at once.Results The operation was successful,but after surgery the patient developed transient hypertension,asphyxia,gastro-esophagus contraflow,hoarseness,and dysphagia,which were all cured at the discharge.Conclusion The key to the resection of complicated CBT is the protection of the cranial nerve from injury,and it is advisable to resect giant bilateral CBT at different times,for one-time surgery may involve more complications and higher risks.

关 键 词：颈动脉体瘤 CT 迷走神经 

分 类 号：R732.21[医药卫生—肿瘤]