选择性颈动脉切除治疗颈动脉体瘤  

Selective resection of the carotid artery for the treatment of carotid body tumor

作　　者：陈杰[1] 瞿吉保[1] 张海清[1] 黄建男 谌永毅[1] 周晓[1] 李赞[1] 

机构地区：[1]湖南省肿瘤医院耳鼻咽喉头颈外科,长沙410006 [2]广东省177医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉科杂志》2002年第5期227-228,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨治疗颈动脉体瘤 ,预防术中致命大出血的有效方法。方法 :对 10例颈动脉体瘤患者 ,经颅多普勒脑血流检测 (TCD)及术前颈动脉压迫训练 ,在清醒麻醉下行选择性颈动脉阻断或切除手术治疗颈动脉体瘤。术中全部夹闭颈总动脉 2h以上 ,切除颈总动脉 4例 ;分离切除肿瘤 6例 ,保留颈总动脉。结果 :10例均无手术死亡及其它中枢神经系统并发症发生。随访 5年均健在。结论 :颈动脉压迫训练 ,TCD检测及术中清醒麻醉 。Objective:Selecting carotid tumors and preventing the fatal bleeding of intraoperation.Method: The carotid compression test and inspection of angiography with transcranial Doppler sonography and keeping intraoperative awake after relieving pain anesthetization.Result: Ten cases of carotid artery were occluded for 2 hours within operation , and 4 carotids were resected and 6 carotid body tumor were peeled and their carotid were reserved. No neurological problems were encountered in the 10 patients for 5 years.Conclusion: Our experience proved that the carotid compression test and inspection of angiography with transcranial Doppler sonography and keeping intraoperative awake after relieving pain anesthetization can help to supervise the selective carotid resection.

关 键 词：选择性颈动脉切除 治疗 颈动脉体瘤 

分 类 号：R739.91[医药卫生—肿瘤] R732.21[医药卫生—临床医学]