颈动脉体瘤的诊断及外科治疗

目的 探讨颈动脉体瘤的诊断及外科治疗。方法 回顾性分析了1983年1月-2002年6月间我院收治的38例患者的41个颈动脉体瘤的临床资料。结果 38例患者术前均常规行B超及血管造影,诊断符合率分别为95％和98％。手术切除肿瘤38个,其中12例行颈外动脉切断、颈内动脉部分缺损修补、动脉体瘤切除术;11例行颈外动脉切断、动脉体瘤切除术;8例行单纯瘤体切除术;6例行颈外动脉切断、颈内动脉重建术;1例行动脉体瘤切除,颈内、颈外、颈总动脉部分切除术。结论 对于可疑颈动脉体瘤患者,术前应常规行B超及颈部血管影像重建。早期、一次手术切除及术中颈内动脉血供重建是治疗及降低手术并发症的关键。

Diagnosis and surgical treatment of carotid body tumour

To discuss the diagnosis and surgical treatment of carotid body tumour.Methods Thirty-eight cases(41carotid body tumours)admitted from1983to2002were analyzed retrospectively.Results All patients were examined by ultrasound and angiography routinely before operation.The diagnostic coincidence rates of ultrasound and angiography are95%and98%respectively.Thirty-eight tumours were resected successfully.Twelve patients underwent external carotid artery severed,internal carotid artery repaired and tumour resected operation.Eleven patients underwent external carotid artery severed and tumour resection.Eight patients underwent tumour simple resected operation.Six patients underwent external carotid artery severed and internal carotid artery reconstruction.One patient underwent tumour resection,while common,external,and internal carotid artery were partially resected.Conclusions For suspected carotid body tumour patients,ultrasound and angiography reconstruction of carotid artery should be applied routinely before operation.The early stage and one stage tumour resected operation as well as internal carotid artery reconstruction are the key factors of decreasing operative complication rate.