超声刀辅助下颈动脉体瘤切除术的临床疗效分析  

The advantages of ulthera assisted resection of carotid body tumors

作　　者：何雨祯 伦语[1] 姜晗[1] 李晰[1] 贺宇辰 王实跃 辛世杰[1] 张健[1] He Yuzhen;Lun Yu;Jiang Han;Li Xi;He Yuchen;Wang Shiyue;Xin Shijie;Zhang Jian(Department of Vascular and Thyroid Surgery,the First Affiliated Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院血管甲状腺外科,沈阳110001

出　　处：《中华普通外科杂志》2022年第7期496-498,共3页Chinese Journal of General Surgery

摘　　要：目的探究超声刀辅助下颈动脉体瘤切除术的临床疗效。方法回顾性分析中国医科大学附属第一医院血管甲状腺外科2004年6月至2019年6月43例颈动脉体瘤手术患者的临床资料。依据Shamblin分级,入组Ⅱ级、Ⅲ级患者并比较超声刀辅助下的颈动脉体瘤切除与常规手术组的临床资料。结果超声刀辅助治疗组患者26例,肿瘤平均直径(4.0±0.6)cm,常规手术组患者17例,肿瘤直径(3.9±0.9)cm。两组患者在手术时间上分别为(117.6±39.8)min,(149.4±55.0)min(P=0.005),术中失血量分别为(145.7±70.6)ml,(194.1±80.7)ml(P=0.006),住院天数分别为(16.8±7.5)d,(22.7±13.0)d(P=0.017),随访时间6~180个月。超声刀辅助组术后1例复发,对照组无复发。两组术后出现并发症者分别为8例和7例。结论超声刀辅助下颈动脉体瘤切除术手术时间短、术中失血少、术后恢复快。Objective To evaluate the use of ulthera in carotid body tumor resection Methods From Jun 2004 to Jun 2019 at the First Hospital of China Medical University.Forty-three shamblin gradeⅡorⅢpatients were retrospectively assigned to ulthera assisted carotid body tumor resection(26 cases)and traditional carotid body tumor resection(17 cases).Results In ulthera assisted group,the average tumor diameter was(4.0±0.6)cm,compared to(3.9±0.9)cm in traditional carotid body tumor surgery group,P=0.875.The operation time of the two group was respectively(117.6±39.8)min and(149.4±55.0)min(P=0.005),blood loss(145.7±70.6)ml vs.(194.1±80.7)ml(P=0.006),hospital stay was(16.8±7.5)d vs.(22.7±13.0)d(P=0.017),and following-up period was between 6 and 180 months.One patient relapsed in ulthera assisted group.The postoperative complications occurred in 8 and 7 cases respectively.Conclusion Ulthera assisted carotid body tumor resection helps shorten operation time,hospital stay and decrease intraoperative blood loss.

关 键 词：颈动脉体瘤 超声 高强聚焦 

分 类 号：R653[医药卫生—外科学]