颈动脉体瘤22例临床分析  

Clinical Treatment of 22 Patients with Carotid Body Tumor

作　　者：王琦[1] 赵文光[1] 王征[1] 

机构地区：[1]吉林大学中日联谊医院血管外科,长春130031

出　　处：《中国中西医结合外科杂志》2003年第3期159-161,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的 :探讨合理的颈动脉体瘤临床治疗方案。 方法 :回顾 2 2例颈动脉体瘤临床资料 ,分析手术方式与并发症的关系 ,并对存活病例进行随访观察。 结果 :手术后近期 2 1例存活 ,1例死亡为颈动脉结扎手术引起急性脑缺血所致。 2 1例中发生面神经损伤、迷走神经损伤各 1例。 6月～ 10年随访 ,平均 4年 5个月 ,1例术后 5年复发 ,1例术后 3年因其它疾病死亡。 结论 :肿瘤单纯切除和肿瘤切除、颈动脉重建是安全、有效的治疗方案 ,手术中脑神经的保护和减少脑缺血时间是预防术后严重并发症的关键。Objective To study a reasonable therapeutic regimen for carotid body tumor Methods Clinical data of 22 cases of carotid body tumor were retrospectively analyzed mainly on relationship between post-operative complications and operative procedures and on subsequent results on follow-up.Results In the series 21 cases were healthy and 1 case died of acute cerbral ischemia resulted from common carotid artery ligation.Among the 21 surviving patients one suffered from facial nerve injury and another from vagus nerve injury.All these patients were followed-up from 6 months to 10 years,with one recurrence 5 years later and 1 patient died of other disease.Conclusion It is safe and effective to remove the tumor and to reconstruct carodtid artery.The key to prevent serious vomplications is to protect from injuring the cranial nerves and diminish the cerebral ischemia time.

关 键 词：颈动脉体瘤 临床分析 治疗 外科手术 

分 类 号：R732.21[医药卫生—肿瘤]