术前辅助动脉栓塞联合肿瘤切除治疗复杂颈动脉体瘤的临床疗效  

Clinical observation of preoperative assisted arterial embolization combined with tumor resection for complicated carotid body tumor

作　　者：李燕姿[1] 张少强[2] 陈阳静[2] 刘建林[3] 杨林[3] Li Yanzi;Zhang Shaoqiang;Chen Yangjing;Liu Jianlin;Yang Lin(Medical Department,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China;Otolaryngology Department,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China;Vascular Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院医务部,陕西西安710061 [2]西安交通大学第一附属医院耳鼻喉科,陕西西安710061 [3]西安交通大学第一附属医院血管外科,陕西西安710061

出　　处：《现代肿瘤医学》2020年第10期1656-1658,共3页Journal of Modern Oncology

摘　　要：目的:观察术前辅助动脉栓塞联合动脉切除复杂颈动脉体瘤的临床疗效。方法:选择我院复杂动脉体瘤患者38例,均先进行载瘤动脉的血管栓塞术,阻断颈动脉体瘤血供,随后进行肿瘤切除,记录临床资料、手术参数及并发症情况。结果:38例肿瘤Shamblin I型2例,Shamblin II型32,Shamblin III型4例;患者均完成术前肿瘤栓塞手术,手术成功率100%,均完全栓塞载瘤血管。术后72 h内完成肿瘤切除,平均手术时间(106.85±36.26)min,术中出血(156.52±61.72)ml,围手术期无输血病例发生。术后切口血肿发生率2.63%(1/38),暂时性神经损伤发生率7.89%(3/38),术后卒中/死亡发生率0,术后总并发症发生率13.16%(5/38),术后病理提示肿瘤恶性率5.26%(2/38),其余均为良性病变。结果:结果证实术前栓塞有助于肿瘤的完整切除,是保障手术安全进行的辅助治疗手段。Objective:To observe the clinical effect of preoperative assisted arterial embolization combined with arterial resection for complex carotid body tumors.Methods:A total of 38 patients with complicated arterial tumors in our hospital were enrolled.All patients underwent vascular embolization of the arterial artery,blocked the blood supply of carotid body tumor,and then performed tumor resection.The clinical data,surgical parameters and complications were recorded.Results:Of the 38 tumors,2 were Shamblin type I,32 were Shamblin II,and 4 were Shamblin III.All patients underwent preoperative tumor embolization.The success rate of the technique was 100%,and the tumor-bearing vessels were completely embolized.Tumor resection was completed within 72 hours after operation.The average operation time was(106.85±36.26)min,and the intraoperative blood loss was(156.52±61.72)ml.No perioperative blood transfusion occurred.The incidence of postoperative incision hematoma was 2.63%(1/38).The incidence of transient nerve injury was 7.89%(3/38).The incidence of postoperative stroke/death was 0,and the total postoperative complication rate was 13.16%(5/38).Postoperative pathology showed a tumor malignancy rate of 5.26%(2/38),and the rest were benign lesions.Conclusion:The results confirmed that preoperative embolization is helpful for the complete resection of the tumor,which is an auxiliary treatment for safe operation.

关 键 词：颈动脉体瘤 术前栓塞 外科切除 并发症 

分 类 号：R739.41[医药卫生—肿瘤]