92例颈动脉体瘤外科治疗的单中心经验  

Single-center experience in the surgical treatment of 92 carotid body tumors

作　　者：浦佳希 王一杰 杨少飞 李朝民 陆民浩 赵志青 赵滨 Pu Jiaxi;Wang Yijie;Yang Shaofei;Li Chaomin;Lu Minhao;Zhao Zhiqing;Zhao Bin(Department of General Surgery,The Seventh People’s Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China;Department of Vascular Surgery,The First Affiliated Hospital of Naval Military Medical University,Shanghai 200433,China)

机构地区：[1]上海中医药大学附属第七人民医院普外科,上海200137 [2]海军军医大学第一附属医院血管外科,上海200433

出　　处：《中国血管外科杂志(电子版)》2024年第4期359-362,共4页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：上海市卫生健康系统重点学科建设项目(2024ZDXK0051);上海市浦东新区卫生科研项目(PW2023D-02);上海市浦东新区卫生系统重点专科建设项目(PWZzk2022-12)。

摘　　要：目的探讨颈动脉体瘤(carotid body tumor,CBT)外科治疗的经验。方法回顾性分析2018年7月至2023年8月上海中医药大学附属第七人民医院92例接受手术治疗(94例次)的CBT患者的临床和随访资料,包括瘤体最大直径、CBT的Shamblin分型、手术方式、手术时长、术中出血量及术后并发症的发生情况。结果94例次CBT均被成功切除,其中ShamblinⅠ型10例次,ShamblinⅡ型49例次,ShamblinⅢ型35例次;平均手术时间(109.2±55.3)min,术中平均出血量(256.6±366.5)ml。围手术期颅神经损伤19例,切口血肿1例,移植物感染1例;无死亡、偏瘫及脑梗死病例。82例患者获得随访,随访时间4~61个月。1例患者发生复发转移性CBT。16例获得随访的颅神经损伤患者中,14例部分或完全恢复,2例仍有症状。结论外科手术切除是CBT患者有效的治疗方法,完善的术前评估能减少术后不良事件的发生。Objective To explore the experience of surgical treatment of carotid body tumor(CBT).Methods The clinical and follow-up data including the maximum diameter of the tumor,Shamblin classification of CBT,surgical method,operation time,intraoperative blood loss and the occurrence of postoperative complications of 92 patients with CBT who underwent surgical treatment(94 cases)in the Seventh People's Hospital,Shanghai University of Traditional Chinese Medicine from July 2018 to August 2023 were analyzed retrospectively.Results All 94 cases of CBTs were successfully resected,including 10 cases of Shamblin typeⅠ,49 cases of Shamblin typeⅡand 35 cases of Shamblin typeⅢ.The average operation time was 109.2±55.3 min,and the average intraoperative blood loss was 256.6±366.5 ml.There were 19 cases of cranial nerve injury,1 case of incisional hematoma,and 1 case of graft infection during the perioperative period.There were no deaths,hemiplegics or cerebral infarctions.82 patients were followed-up for 4 to 61 months.One patient developed recurrent metastatic CBT.Of the 16 patients with cranial nerve injury who were followed-up,14 recovered partially or completely,and two still had symptoms.Conclusion Surgical resection is an effective treatment for CBT patients,and a complete preoperative evaluation can reduce the occurrence of postoperative adverse events.

关 键 词：颈动脉体瘤 外科手术 治疗结果 

分 类 号：R74[医药卫生—神经病学与精神病学]