术前经导管动脉栓塞对颈静脉球瘤切除术的影响  

Effect of preoperative transarterial embolization on glomus jugulare tumor excision

作　　者：刘昭邦 郭祺锟 谭国胜[2] 李鹤平[1] LIU Zhao-bang;GUO Qi-kun;TAN Guo-sheng;LI He-ping(Department of Medical Oncology,The East Division of The First Affiliated Hospital,Sun Yat-sen University,Guangdong 510700,China)

机构地区：[1]中山大学附属第一医院东院肿瘤科,广东广州510700 [2]中山大学附属第一医院放射介入科,广东广州510080

出　　处：《影像诊断与介入放射学》2022年第2期115-120,共6页Diagnostic Imaging & Interventional Radiology

摘　　要：目的 探讨术前经导管动脉栓塞对颈静脉球瘤切除术的影响。方法 回顾分析1996年1月~2018年1月经影像学和病理检查确诊的颈静脉球瘤共35例,将其按照Fisch分级标准分为轻型病例(Fisch A、B级)和重型病例(Fisch C、D级)两层,并根据是否经历术前栓塞将患者分为栓塞组和未栓塞组,比较两组间术中出血量、切除术时长、住院时长、手术并发症等临床指标。结果 本研究共纳入治疗病例35例(含栓塞组20例,未栓塞组15例)。栓塞组和未栓塞组的术中出血量(轻型:250 ml比225 ml;重型:950 ml比800 ml),手术时长(轻型:382 min比210 min;重型:515 min比501 min),住院天数(轻型:20 d比23 d;重型:20 d比22 d),除轻型栓塞组手术时长较长之外(P<0.05),其余均无差异(P均>0.05)。栓塞组和未栓塞组常见手术并发症的发生率无统计学差异。结论 术前经导管动脉栓塞对颈静脉球瘤切除术治疗并无明显辅助作用。Objective To investigate the effect of preoperative transarterial embolization(TAE) on glomus jugulare tumor(GJT) excision. Methods We retrospectively analyzed 35 GJT cases from January 1996 to January 2018. The patients were divided into mild(Fisch A, B) and severe(Fisch C, D) groups. Each group was further divided into the embolization group(EG) and non-embolization group(NEG). The operative time, operative blood loss, length of hospitalization, and complications were compared. Results Two of the 33patients underwent excision twice with total of 35 cases(EG: 20, NEG: 15). The mean operative blood loss(mild: EG 250 ml, NEG 225 ml,P>0.05;severe: EG 950 ml, NEG 800 ml, P>0.05), operative time(mild: EG 382 min, NEG 210 min, P<0.05;severe: EG 515 min, NEG501 min, P>0.05), and duration of hospitalization(mild: EG 20 d, NEG 23 d, P>0.05;severe: EG 20 d, NEG 22 d, P>0.05). The complication incidence between EG and NEG was not significantly different. Conclusion Preoperative TAE does not provide significant benefit to GJT excision.

关 键 词：颈静脉球瘤 术前经导管动脉栓塞 切除术 

分 类 号：R739.91[医药卫生—肿瘤] R815[医药卫生—临床医学]