颈动脉体瘤诊断和治疗的临床分析  

Clinical analysis of diagnosis and therapy on carotid body tumors

作　　者：朱立营[1] 郭凤[1] 邓永君[1] 于广久[2] 常江[1] 姜洪波[1] 郑周红[1] 陈伟刚[1] 王斌[1] 朱立方 

机构地区：[1]齐齐哈尔市第一医院耳鼻咽喉科,黑龙江齐齐哈尔161005 [2]齐齐哈尔市第一医院神经外科,黑龙江齐齐哈尔161005 [3]瓦房店市中医院CT室,辽宁大连116300

出　　处：《现代医学》2011年第1期38-41,共4页Modern Medical Journal

摘　　要：目的:总结颈动脉体瘤(CBT)的诊治经验,以提高CBT的诊治水平,降低手术风险,减少手术并发症的发生。方法:回顾分析26例CBT患者的临床资料。10例患者行彩色多普勒超声检查疑为CBT,后经64排螺旋CT(64-MSCTA)检查证实,4例行磁共振血管造影(MRA)检查、12例行数字减影血管造影(DSA)检查(其中8例同时行瘤体主要营养血管的栓塞)均明确诊断。患者全部行手术治疗。结果:所有患者无手术死亡,无肿瘤复发,1例发生术后脑栓塞、偏瘫,8例发生术后神经并发症。结论:对CBT,彩色多普勒超声、CT和MRA检查均可提供一定的诊断依据,64排螺旋CT与DSA检查是诊断的最佳手段。手术切除是治疗CBT的首选治疗措施。术前应常规行Matas训练,术中精细地解剖可明显减少术后神经并发症的发生和其他组织的损伤。Objective：To summarize the experience in diagnosis and therapy of carotid body tumors（CBT）,promote the rate of diagnosis and successful rate of operation and minimize intra and postoperative complications.Methods： A retrospective study was based on 26 patients with carotid body tumors diagnosed and treated from 2001 to 2010.10 cases were operated after proven by noninvasive examination including color Doppler scan,4 cases by computer tomography angiography,12 cases by DSA examination.Results： No patients died,no cerebral infarctions and recurrence were found after the operation.Operative nervous complications occurred in 8 cases.Conclusion： DSA examination is the traditional method to diagnose carotid body tumors.64 slice CT angiography（64-MSCTA）examination is valuable to diagnose carotid body tumors.Surgery is the first choice to cure carotid body tumors.Enough preoperative preparation is necessary.Preoperative Matas training and meticulous dissection during the operation may reduce the incidence of postoperative complications.

关 键 词：颈动脉体瘤 诊断 并发症 手术治疗 

分 类 号：R732.21[医药卫生—肿瘤]