颈静脉球瘤的栓塞治疗

目的:评价介入栓塞治疗对颈静脉球瘤的作用.方法:3 例颈静脉球瘤患者,采用Seldinger技术行超选择性插管造影明确病变部位及其供血动脉,然后灌注聚乙烯醇颗粒(PVA颗粒)适量.结果:3例患者肿瘤供血动脉均被栓塞,肿瘤染色消失;2例栓塞后1周行手术切除,均完全切除且出血量少.栓塞后随访观察,患者的临床症状均减轻或消失.结论:颈静脉球瘤的栓塞治疗对于减少术中出血和抑制肿瘤生长有积极的作用,术前栓塞加外科手术切除是治疗颈静脉球瘤的一种安全有效的方法.

Embolotherapy of Glomus Jugulare Tumor

Objective:To assess the effects of embolotherapy in the treatment of glomus jugulare tumors.Methods:Superselective arteriography was performed in 3 cases with glomus jugulare tumor to identify the diseased regions and feeding arteries under Seldinger technique.All were subjected to the infusion of a sufficient quantity of polyvinyl alcohol embolization particles.Results:In three cases the feeding arteries of tumor were embolized completely,and tumor stains disappeared.In 2 cases surgicry was undergone one week after embolization,and the tumors were totally resected with little bleeding. According to the follow-up of embolization,clinical symptoms decreased or vanished in all cases.Conclusion:Embolotherapy of glomus jugulare tumor has positive effects on reducing intraoperative bleeding and inhibiting tumor growth.Preoperative embolization associated with surgical removal is a safe and effective therapeutic measure in the treatment of glomus jugulare tumor.