颈动脉体瘤的诊断和治疗12例  

The diagnosis and treatment of 12 cases with carotid body tumor

作　　者：罗小宁[1,2] 张思毅[1,2] 宋新汉[1,2] 陈良嗣[1,2] 卢仲明[1,2] 詹建东[1,2] 

机构地区：[1]广东省人民医院耳鼻喉头颈外科 [2]广东省医学科学院,广州市510080

出　　处：《实用医学杂志》2013年第14期2336-2338,共3页The Journal of Practical Medicine

摘　　要：目的:总结颈动脉体瘤(CBT)诊断和治疗方面的初步经验。方法:回顾性研究我院从2006-2012年收治的共12例CBT患者,单侧肿瘤有10例,双侧肿瘤为2例。共14例CBT通过手术切除并病理确诊。其中于动脉外膜平面上单纯切除肿瘤的有7例,切除颈外动脉和肿瘤的有4例,切除部分颈内动脉,并进行动脉重建的有3例。结果:14例手术均完整切除肿瘤,未出现手术相关的重大并发症和死亡,随访10个月至6年不等,未发现肿瘤复发和转移。结论:CBT术前CT或MRI的特殊征象诊断率高,术前栓塞并非必须的术前准备。对于ShamblinⅢ型的患者,颈动脉重建技术的应用,可以达到良好的手术效果。Objective To summarize the experiences of diagnosing and treating carotid body tumor（CBT）.Methods A retrospective study was conducted on 12 patients with CBT from 2006 to 2012 in our hospital.10 patients were unilateral and 2 patients were bilateral,so there were 14 cases of CBT.All cases underwent surgical resection with pathology diagnosis,including 7 cases with single tumor resection,4 cases with tumor combined external carotid artery resection,and 3 cases with tumor combined partial internal carotid artery resection plus internal carotid artery reconstruction.Results 14 cases of CBT were removed completely with no perioperative death and serious complication.No recurrence or metastasis was reported after 10 months to 6-years of follow-up.Conclusion CBT can be diagnosed by the characteristic imaging of CT or MRI,preoperative embolization was not necessary.For those patients of Shamblin Ⅲ,the technique of vascular reconstruction can attain good surgical effects.

关 键 词：颈动脉体瘤 血管重建 颈动脉转流 静脉移植 

分 类 号：R739.91[医药卫生—肿瘤]