44例颈动脉体瘤的外科治疗  

Surgical treatment of carotid body tumor of 44 cases report

作　　者：郑曰宏[1] 管珩[1] 刘昌伟[1] 李拥军[1] 刘暴[1] 叶炜[1] 张严[1] 

机构地区：[1]中国医学科学院,中国协和医科大学,北京协和医院血管外科,北京100730

出　　处：《肿瘤》2002年第1期64-66,共3页Tumor

摘　　要：目的　总结颈动脉体瘤诊断、术前准备、手术治疗以及并发症防治的经验。方法　对采用肿瘤剥除术、同时切除颈外动脉术、与颈动脉分叉一并切除后血管重建术以及颈总动脉结扎术等手术方式治疗的 44例颈动脉体瘤进行回顾性分析。结果　本组病例手术切除率 90 9% ,无手术死亡。偏瘫 2例 ,舌下神经损伤 4例 ,舌咽神经损伤 2例 ,迷走神经损伤 1例 ,副神经损伤 1例 ,其中 1例同时有Ⅸ、Ⅹ、Ⅻ颅神经部分损伤。长期随访复发 2例。结论　术前选择性血管造影、血管超声多普勒等检查以明确诊断 ,合理的Matas训练以及选择适当的术式对于颈动脉体瘤治疗是必要的。Objective Diagnosis, preoperative preparation, surgical treatment and complication were summerized in patients with paragangliomas. Methods Retrospective study of 50 paragangliomas was carried out in 44 cases which were surgically treated with different kind of procedures. Results No operative mortality was observed. There were 2 hemeplesia. 4 hypoglossal n. impairment, 2 glossopharyngeal n. impairment, and 1 accessory n. impairment. One patient presented simulataneously with a postoperative cranial nerves deficits (glossopharyngeal, vagus and hypoglossal nerve). Two patients developed local recurrence during the long term follow up. Conclusion Complete surgical excision was possible for each patient if diagnosis was correctly made through selective preoperative angiograph, vessel ultrasound and other inspections. Reasonable surgical procedure and Matas training were necessary to the treatment of carotid chemodectomas.

关 键 词：颈动脉体瘤 并发症 外科治疗 动脉血管造影 

分 类 号：R739.91[医药卫生—肿瘤]