| 选择性颈动脉切除治疗颈动脉体瘤 |
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| 引用本文： | 陈杰,瞿吉保,张海清,黄建男,谌永毅,周晓,李赞.选择性颈动脉切除治疗颈动脉体瘤[J].临床耳鼻咽喉头颈外科杂志,2002,16(5):227-228. |
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| 作者姓名： | 陈杰 瞿吉保 张海清 黄建男 谌永毅 周晓 李赞 |
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| 作者单位： | 1. 湖南省肿瘤医院耳鼻咽喉-头颈外科,长沙,410006
2. 广东省177医院耳鼻咽喉-头颈外科 |
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| 摘 要： | 目的 :探讨治疗颈动脉体瘤 ,预防术中致命大出血的有效方法。方法 :对 10例颈动脉体瘤患者 ,经颅多普勒脑血流检测 (TCD)及术前颈动脉压迫训练 ,在清醒麻醉下行选择性颈动脉阻断或切除手术治疗颈动脉体瘤。术中全部夹闭颈总动脉 2h以上 ,切除颈总动脉 4例 ;分离切除肿瘤 6例 ,保留颈总动脉。结果 :10例均无手术死亡及其它中枢神经系统并发症发生。随访 5年均健在。结论 :颈动脉压迫训练 ,TCD检测及术中清醒麻醉 ,可以对选择性颈动脉阻断或切除起到充分的监督作用
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| 关 键 词： | 颈动脉体瘤 颈动脉切除 |
| 文章编号： | 1001-1781(2002)05-0227-02 |
| 修稿时间： | 2001年10月23 |
Selective resection of the carotid artery for the treatment of carotid body tumor |
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| CHEN Jie,QU Jibao,ZHANG Haiqing,HUANG Jiannan,CHEN Yongyi,ZHOU Xiao,Li Zan.Selective resection of the carotid artery for the treatment of carotid body tumor[J].Journal of Clinical Otorhinolaryngology,2002,16(5):227-228. |
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| Authors: | CHEN Jie QU Jibao ZHANG Haiqing HUANG Jiannan CHEN Yongyi ZHOU Xiao Li Zan |
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| Institution: | Department of Otolaryngology-Head and Neck Surgery, Hunan Provincial Tumor Hospital, Changsha 410006. |
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| Abstract: | Objective:Selecting carotid tumors and preventing the fatal bleeding of intraoperation.Method: The carotid compression test and inspection of angiography with transcranial Doppler sonography and keeping intraoperative awake after relieving pain anesthetization.Result: Ten cases of carotid artery were occluded for 2 hours within operation , and 4 carotids were resected and 6 carotid body tumor were peeled and their carotid were reserved. No neurological problems were encountered in the 10 patients for 5 years.Conclusion: Our experience proved that the carotid compression test and inspection of angiography with transcranial Doppler sonography and keeping intraoperative awake after relieving pain anesthetization can help to supervise the selective carotid resection. |
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| Keywords: | Carotid body tumor Selective resection of carotid artery |
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