颈部副交感性副神经节瘤  

Cervical parasympathetic paraganglioma

作　　者：刘经祖[1] 陶英杰[1] 金税 

机构地区：[1]天津肿瘤医院头颈科,天津300060

出　　处：《陕西肿瘤医学》1999年第4期193-195,共3页ShanXi Oncology Medicine

摘　　要：我院自1956～1998年，共收治颈部副交感性副神经节瘤68例，63例经手术治疗。60例为颈动脉体瘤，其中2例恶性；3例迷走神经体病，其中1例为异位。动脉外膜下肿瘤摘出术33例（占52．4％），单纯肿瘤摘出1例；肿瘤大部切除10例（占15．9％）；肿瘤合并分歧部切除19例（30．2％），术后脑血管并发症3例。肿瘤合并颈动脉分歧部切除术前，需行颈动脉压迫锻炼。微机脑血流图（CREG）监测，波幅差≤30％为合格标准。恶性或未切除彻底者术后补加放疗。Between 1956 to 1998 -63 cases of parasympathetic paraganglioma (58 carotid body tumor, 2 Malignant carotid body tumor,2 Vagal body tumor, 1 Aberrant vagal body tumor)in the neck were treated surgically. Of which 33 cases underwent subadventitial enucleation, 1 case simple tumor resection, 10 cases partial tumor resection. Postoperative cerebrovascular complication occurred in 3 cases. All of these patients underwent preoperative compressing exercise of carotid artery in order to promote better circulation of collateral cerebral crossflow.They could tolerate carotid occlusion up to 30 minutes and CREG showed a permissible rate of difference of wave width(≤30% ). In cases with malignant lesion or residual tumor tissue were irradiated.

关 键 词：副交感性副神经节瘤 颈动脉体瘤 迷走神经体瘤 动脉外膜下肿瘤摘出术 

分 类 号：R739.91[医药卫生—肿瘤]