外膜下剥离切除颈动脉体瘤13例体会

目的探讨外膜下剥离切除颈动脉体瘤的疗效。方法对１９８９～１９９７年收治的１３例颈动脉体瘤的诊治资料进行回顾性总结。结果本组１３例颈动脉体瘤包括单侧发病１２例，双侧发病１例，术前Ｂ型超声证实５例，ＣＴ确诊７例；１３例均经手术治疗，其中１１例行外膜下剥离切除术，无手术死亡和术后并发症。术后随访１０例，随访率为７７％，随访时间１～５年，平均２年３个月，无肿瘤复发。结论颈部Ｂ型超声、ＣＴ扫描和颈动脉造影对本病有重要诊断价值，外膜下剥离切除颈动脉体瘤的方法较为安全和有效。

Resection of carotid body tumors by arterial decortication

Objective To evaluate the effectiveness and safety of carotid body tumors (CBT) resection by arterial decortication. Methods We present experience of diagnosis and treatment of 13 CBT cases hospitalized from 1989 to 1997. HZResults Resection of the CBT were undertaken in 11 out of 13 cases by arterial decortication. Followup of one to five years found no postoperative complications and recurrence. Conclusions Ultrasonography, CT and arteriography provide valuable information for diagnosis of CBT. Subadventitial dissection for CBT ressection is rapid and safe.