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目的 总结颈动脉体瘤的治疗经验,探讨手术的安全性和围手术期处理的科学性.方法 回顾分析1998年2月至2006年6月昆明医学院第一附属医院收治10例颈动脉体瘤的临床资料,经组织学证实血管型为6例、实质型2例、混合型2例.10例病人均行瘤体剥离和(或)瘤体切除及血管重建.结果 术后无一例发生脑动脉血栓形成、栓塞及舌咽、迷走神经等损伤的严重并发症.术后1周均顺利出院.结论 由于颈动脉体瘤所处解剖位置特殊,与颈动脉粘连紧密甚至产生包绕和侵蚀血管现象,术中术后极易造成神经、血管损伤和脑供血不足;加之其本身属化学感受器肿瘤,尚有7%～10%为恶性,手术和围手术期处理难度大.因而在手术治疗以及整个围手术期处理中都应高度警惕,避免术后并发症的发生.

Surgical management of carotid body tumor: an analysis of 10 cases

??Objective:To outline several experiences and skills in the clinical treatment of the carotid body tumor,especially in the operation process and peripheral operation stage and help clinicians to treat the carotid body tumor more efficiently,safely and scientifically. Methods:The clinical data of 10 cases of carotid body tumor admitted between Febuary 1998 and June 2006 in the Department of Vascular Surgery of First Affiliated Hospital of Kunming Medical Institute were analyzed retrospectively. The cases were performed tumor stripping or stripping combined artificial blood vessel reconstruction. Results:All cases recovered perfectly after one week’s postoperative observation and nursing. Conclusion:The carotid body tumor is an encapsulated,firm round mass at the bifurcation of the common carotid artery,but with a complex anatomy.There are high risks during operation and postoperative stage.It should treat carefully and safely during the operation and perioperative peroid to avoid the postoperative complications.