颈动脉体瘤外科手术规范专家共识  

Expert consensus on standard surgical treatment for carotid body tumor

作　　者：中国微循环学会周围血管疾病专业委员会 郑月宏[2] 刘晓兵[3] 王冕[4] 张杨[5] Chinese Society of Microcirculation&Professional Committee of Vascular Disease;Zheng Yuehong

机构地区：[1]不详 [2]中国医学科学院北京协和医院 [3]上海交通大学医学院附属第九人民医院 [4]中山大学附属第一医院 [5]首都医科大学附属北京朝阳医院

出　　处：《血管与腔内血管外科杂志》2023年第3期257-264,共8页Journal of Vascular and Endovascular Surgery

基　　金：中央高水平医院临床科研专项(2022-PUMCH-B-100);中国医学科学院医学与健康科技创新工程(2021-I2MC&T-A-006)。

摘　　要：颈动脉体瘤(CBT)是一种较为罕见的肿瘤,原发于颈动脉体化学感受器,属于一种副交感神经节瘤。由于CBT血供丰富,与颈部颅神经、颈动脉关系密切,因此,手术切除难度较大,术中出血较多,并发症发生风险较高,多数外科医师的CBT诊治经验并不丰富。为指导和规范CBT的外科治疗,经多次讨论、总结专家临床经验,并结合国内外文献,特制定《颈动脉体瘤外科手术规范专家共识》,包括CBT的临床表现、分型、术前诊断与评估、外科手术策略与技巧、术后注意事项与并发症处理等多方面内容,供临床参考。Carotid body tumor(CBT)is a relatively rare tumor that originates from carotid body chemoreceptor and belongs to a type of parasympathetic ganglioma.CBT has a rich blood supply and is closely related to the cervical cranial nerves and carotid arteries.Therefore,surgical resection is difficult,there is more intraoperative bleeding,and the risk of complications is high.Most surgeons have limited experience in the diagnosis and treatment of CBT.In order to guide and standardize the surgical treatment of CBT,after multiple discussions and summaries of expert clinical experience,and combined with domestic and foreign literature,the expert consensus on standard surgical treatment for carotid body tumor is formulated,including clinical manifestations,classification,preoperative diagnosis and evaluation,surgical strategies and techniques,postoperative precautions and complication management of CBT,and other aspects for clinical reference.

关 键 词：颈动脉体瘤 外科手术 辅助栓塞 专家共识 

分 类 号：R543[医药卫生—心血管疾病]