颈动脉体瘤的外科治疗  

Carotid body tumor and surgical treatment

作　　者：晋援朝[1] 梁发启[1] 夏绍友[1] 张艳君[1] 宁莫凡[2] 葛进[2] 王岭[2] 

机构地区：[1]解放军总医院普通外科,北京100853 [2]第四军医大学西京医院血管外科,西安710032

出　　处：《军医进修学院学报》2002年第4期274-276,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的 :总结颈动脉体瘤的外科治疗经验。方法 :35例 36侧颈动脉体瘤行手术治疗。其中颈动脉体瘤单纯剥离 2 0例 (2 1侧 ) ,颈动脉体瘤及颈外动脉切除 3例 ,肿瘤及颈内动脉切除颈外替代颈内动脉 2例 ,动脉对端吻合 2例 ,血管移植 6例 ,补片修复 1例 ,动脉结扎 1例。手术在全身麻醉下进行 ,12例采用冰帽头部局部低温。结果 :围手术期死亡 1例 ,死亡率 2 8%,术后发生霍纳综合征 2例 ,迷走神经、面神经下颌支及喉上神经损伤各 1例。 2 9例随访 1～ 2 5年 ,全部随访患者没有复发。恶性颈动脉体瘤 1例 ,失访。结论 :手术是治疗颈动脉体瘤的最佳方法 ,延误反使手术增加困难。脑保护是降低手术死亡率和并发症的重要措施 ,完整的保留或重建颈内动脉是手术成功的重要保证。Objective:To summarize the experience for carotid body tumor and surgical treatment.Methods:Thirty-six tumors were resected in 35 cases, among tham, 21 tumors were simplex enucleation with preservation of cartotid vassels, 3 tumors with externa carotid artery were resected, 2 cases of externa carotid artery substituted for the internal carotid artery that was resected, 6 excision of tumor and carotid bifurcation with revascularization of the internal carotid artery, 2 end-to-end anastomosis of internal carotid cartery,angioplasty and ligation of carotid artery were 1 case, respectively. Operation underwent the general anesthesia, 12 local cooling made use of ice-cup at head. Results: The mortality of perioperative period was 2.8%. There were 5 postoperative complications that included Horner′s syndrome and cranial nerves injury. 29 patients were followed-up survey from 1 to 25 years with no recurrence. Conclusion: Operation is the most effective way to cure carotid body tumor. Protection of brain and retainer complete of internal carotid artery is important measure that reduce the postoperative complication.

关 键 词：治疗 颈动脉体瘤 血管外科手术 病例分析 

分 类 号：R739.91[医药卫生—肿瘤]