颈动脉体瘤的外科治疗：附24例报告

目的:总结颈动脉体瘤(CBT)的诊治经验及其手术并发症的防治。方法:回顾性分析1999年1月—2012年9月收治的24例颈动脉体瘤患者共30侧资料。其中双侧肿瘤6例,单侧18例。结果:24例均手术治疗,其中Shamblin I型17侧行单纯瘤体剥除;Shamblin II型7侧行瘤体剥除及颈外动脉切除;6侧Shamblin III型侧行瘤体剥离、颈内动脉部分切除伴颈内动脉重建术。24例患者肿瘤均完整切除,无手术死亡病例,术后出现短暂性脑神经损伤5侧(16.7%),永久性脑神经损伤1例(3.33%)。随访1~15年,未出现延迟性并发症及肿瘤复发。结论:手术是CBT的最有效方式,根据肿瘤大小及与动脉关系决定手术方式,预后良好。

Surgical treatment of carotid body tumor: a report of 24 cases

Objective: To report the experience in diagnosis and treatment as well as the surgical complications of carotid body tumors (CBTs). Methods: The data of 24 CBT patients with a total of 30 CBTs treated from January 1999 to September 2012 were retrospectively reviewed. Of the patients, 6 cases had bilateral lesions, and 18 cases had a unilateral lesion. Results: All the 24 patients (30 CBTs) underwent surgical treatment that included simple tumor excision of 17 Shamblin I tumors, tumor removal plus external carotid artery resection of 7 Shamblin II tumors, and tumor removal plus partial internal carotid artery resection and reconstruction of 6 Shamblin III tumors. Tumors were completely removed in all the 24 patients, and no operative death occurred, Transient postoperative cranial nerve injury occurred in 5 cases (16.7%) and permanent postoperative cranial nerve damage occurred in one case (3.33%). Follow-up lasted for 1 year to 15 years, and no delayed complications or tumor recurrence occurred. Conclusion: Surgery is the most effective treatment for CBTs, and favorable outcomes may be obtained by appropriate surgical procedures decided according to the size of the tumor and the relationship between the tumor and its adjacent arteries.