29例颈动脉体瘤手术方式及并发症分析  

Retrospective analysis of operative methods and complications in 29 patients with carotid body tumor

作　　者：张国民[1] 邹耀祥[2] 冯翔[3] 高松[1] 

机构地区：[1]解放军175医院(厦门大学附属东南医院)耳鼻咽喉科,福建漳州363000 [2]解放军175医院(厦门大学附属东南医院)普外科 [3]上海长海医院血管外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第8期630-632,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨颈动脉体瘤的手术方法及并发症的防治策略。方法:对2007-01-2015-04手术治疗的29例颈动脉体瘤患者的临床资料进行回顾性分析。结果:29例中5例为双侧颈动脉体瘤,共行34例次颈动脉体瘤切除术。瘤体完整剥除未行颈动脉阻断及重建者18例次,瘤体合并颈外动脉切除者16例次,其中9例次联合颈内动脉切除,以自体大隐静脉重建颈内动脉4例次,以人工血管重建颈内动脉3例次,颈内动脉结扎未重建2例次。无围手术期死亡。手术并发脑梗死1例,并发后组脑神经损伤12例次。结论:颈动脉体瘤常需联合血管切除,术者必须熟悉各种颈动脉重建方法,后组脑神经损伤是颈动脉体瘤切除术中最常见的并发症。Objective：To analyze the operative methods and complications for surgical resection of carotid body tumor（CBT）.Method：Clinical data of 29 patients underwent CBT resection from Jan 2007 to Apr 2015 were retrospectively studied.Result：Five out of 29 patients got bilateral CBT,the others had unilateral lesions,totally 34 CBT resection were performed.Tumor completely dissected without carotid artery clamping and reconstruction in 18 procedures,tumor resection combined with external carotid artery resection in 16 procedures,9 out of these 16 procedures combined with internal carotid artery resection.The internal carotid artery was reconstructed with autologous greater saphenous vein in 4 procedures,with artificial graft in 3 procedures,and internal carotid artery ligation without reconstruction in 2 procedures.There was no patient death during perioperative period,cerebral infarction happened in 1 patient and cranial nerve injury occurred in 12 cases.Conclusion：Carotid artery resection and reconstruction is very common during CBT resection,surgeon must be familiar with the methods of carotid artery reconstruction,and the most common complication of carotid body tumor resection is the cranial nerve injury.

关 键 词：颈动脉体瘤 颈动脉重建 脑神经损伤 

分 类 号：R732.2[医药卫生—肿瘤]