超选择性动脉栓塞后手术切除颈动脉体瘤11例的体会  

Combined superselective arteriography plus embolization before surgical resection of carotid body tumor

作　　者：李松奇[1] 叶财盛[1] 林勇杰[1] 常光其[1] 吕伟明[1] 王深明[1] 吴庆华[2] 

机构地区：[1]中山医科大学附属第一医院血管外科,广州510080 [2]首都医科大学附属北京安贞医院血管外科

出　　处：《中华普通外科杂志》2002年第4期236-238,共3页Chinese Journal of General Surgery

摘　　要：目的探讨颈动脉体瘤术前超选择性动脉造影及栓塞的意义。方法对 1995～ 1999年间收治的 11例颈动脉体瘤患者术前行超选择性动脉栓塞后再行手术切除。结果经动脉栓塞后再行瘤体切除 ,术中平均出血量 35 0ml,与未行动脉栓塞组出血量 6 5 0ml比较 ,差异有显著意义 (P <0 0 1)。同时栓塞后的瘤体均可一期切除。结论颈动脉体瘤术前行超选择性动脉栓塞可明显减少术中出血 ,提高肿瘤切除率。ObjectiveTo evaluate the value of preoperative superselective arteriography plus emboliazation before surgery of carotid body tumor(CBT). Methods11 CBT cases hospitalized from 1995 to 1999 underwent this procedure before resection. ResultsThe intraoperative blood loss (350±170 ml) was significantly different in this group compared with that (averaging 650 ml) in patients not undergoing the preoperative embolization, P<0.01. Tumors in these 11 cases were completely removed after artery embolization. ConclutionsPreoperative superselective arteriography plus embolization reduces intraoperative blood loss and facilitates the surgical removal of CBT.

关 键 词：颈动脉体瘤 血管外科手术 超选择性动脉栓塞 治疗 动脉造影 

分 类 号：R654.3[医药卫生—外科学]